Most Relevant Information
Provider Data
| NPI Number: | 1003818287 |
| Provider Name: | JEFFREY J STEIN ACNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 082172 |
Most Important Dates
| Enumeration Date: | 06/01/2005 |
| Last Updated: | 12/13/2017 |
Provider Practice Location
1970 N HWY 190
COVINGTON
LA
70433
Practice Location Phone/Fax
| Phone: | 9858678585 |
| Fax: | 9858673644 |
Provider Mailing Location
901 GAUSE BLVD
STE 200
SLIDELL
LA
704582949
Provider Mailing Phone/Fax
| Phone: | 9858678585 |
| Fax: | 9858673644 |