Individual provider · Type 1 NPI

Stephanie Videan, CPNP-PC

Pediatric Nurse Practitioner · Jackson, MI

NPI number 1669800975 Active

Practice location

760 W Franklin St
Jackson, MI 49201-2048

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704261894 (MI)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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Colleen Chadderton, RNC, MSN, CPNPPediatric Nurse Practitioner Jackson, MI NPI 1972500536
Edward Luis Rodriguez, MDPsychiatry Physician Jackson, MI NPI 1477579266
Ekaterina Iausheva, MDPediatrics Physician Jackson, MI NPI 1679182778
Elizabeth Anne Cross, NPNurse Practitioner Jackson, MI NPI 1306417563
Jillian Rnea Gervais, PNP-PCPediatric Nurse Practitioner Jackson, MI NPI 1881097434
John S. Schuster, MDPediatrics Physician Jackson, MI NPI 1245201607
Jolene Ellis, MDPediatrics Physician Jackson, MI NPI 1255395612
Kersten Dekker, MSW INTERNClinical Social Worker Jackson, MI NPI 1760332027
Lora Louise Morningstar, MSN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Jackson, MI NPI 1285369959

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About NPI 1669800975

Stephanie Videan, CPNP-PC's National Provider Identifier is 1669800975, issued on Oct 23, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MI. The record was last updated on Oct 23, 2013.