Individual provider · Type 1 NPI

Kynnera Stephenson, AGPCNP-BC

Primary Care Nurse Practitioner · Tacoma, WA

NPI number 1679349401 Active

Practice location

401 Broadway Ste 100
Tacoma, WA 98402-3900

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP61507659 (WA)
Gerontology Nurse Practitioner 363LG0600XAP61507659 (WA)
Nurse Practitioner 363L00000XAP61507659 (WA)

Primary Care Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1679349401

Kynnera Stephenson, AGPCNP-BC's National Provider Identifier is 1679349401, issued on Dec 4, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tacoma, WA. The record was last updated on Sep 3, 2026.