Provider Demographics
NPI:1700565785
Name:STONE, LEVI ROSS (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:ROSS
Last Name:STONE
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9851 FM 1097 RD W STE 120
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-5852
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9851 FM 1097 RD W STE 120
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-5852
Practice Address - Country:US
Practice Address - Phone:936-890-8000
Practice Address - Fax:936-890-9000
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily