Provider Demographics
NPI:1336451269
Name:STEPHENS, JEFFREY M (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:M
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:9645 RIVERSIDE PKWY
Mailing Address - Street 2:STE C
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7423
Mailing Address - Country:US
Mailing Address - Phone:918-299-4333
Mailing Address - Fax:918-299-4330
Practice Address - Street 1:9645 RIVERSIDE PKWY
Practice Address - Street 2:STE C
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7423
Practice Address - Country:US
Practice Address - Phone:918-299-4333
Practice Address - Fax:918-299-4330
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK86141363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner