Individual provider · Type 1 NPI

Kerry Rose Stephenson, APRN

Pediatric Nurse Practitioner · Middletown, CT

NPI number 1497944425 Active

Practice location

575 Main St Fl 2, Attn: Credentialing Dpt
Middletown, CT 06457-2845

Call (860) 347-6971 Map

Mailing address

1 Shaws Cv
New London, CT 06320-4902

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X003654 (CT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497944425

Kerry Rose Stephenson, APRN's National Provider Identifier is 1497944425, issued on Oct 16, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Middletown, CT. The record was last updated on Feb 9, 2012.