Provider Demographics
NPI:1851518112
Name:STEPHENS, SETH EDWARD (DNP, APRN, ACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:EDWARD
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:DNP, APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:810 HOSPITAL DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4600
Mailing Address - Country:US
Mailing Address - Phone:409-212-7474
Mailing Address - Fax:409-212-7470
Practice Address - Street 1:810 HOSPITAL DR
Practice Address - Street 2:SUITE 350
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4600
Practice Address - Country:US
Practice Address - Phone:409-212-7474
Practice Address - Fax:409-212-7470
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX702111363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner