Smith, Stephany Peebles
Smith, Stephany Peebles is an individual health care provider with primary practice located at 200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Smith, Stephany Peebles can be contacted via phone (863) 297-1777.Contact Information
Primary practice address
200 Avenue F Ne Ste 9118
Winter Haven FL 33881-4131
Phone: (863) 297-1777
Fax: (863) 297-1756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3095132 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN3095132 | Florida |
Profile Details
| NPI number | 1962958991 |
|---|---|
| LBN Legal business name | Smith, Stephany Peebles |
| Credentials | APRN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Mar 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962958991 | NPPES |
| Florida | MEDICAID | 104789900 |
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