Most Relevant Information
Provider Data
| NPI Number: | 1003240110 |
| Provider Name: | JESSICA CAROL STEVENS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2013 |
| Last Updated: | 08/26/2013 |
Provider Practice Location
70 N 31ST ST
CLINTON
OK
736019116
Practice Location Phone/Fax
| Phone: | 5803236021 |
| Fax: |
Provider Mailing Location
70 N 31ST ST
CLINTON
OK
736019116
Provider Mailing Phone/Fax
| Phone: | 5803236021 |
| Fax: | 5803235635 |