Provider Demographics
NPI:1255453478
Name:STEVENS, GEORGIA LINTON (PHD, APRN, BC)
Entity type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:LINTON
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 38TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3726
Mailing Address - Country:US
Mailing Address - Phone:202-362-1170
Mailing Address - Fax:202-362-1170
Practice Address - Street 1:3121 38TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3726
Practice Address - Country:US
Practice Address - Phone:202-362-1170
Practice Address - Fax:202-362-1170
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN31429163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult