Stephens, Elisa

Stephens, Elisa is an individual health care provider with primary practice located at 640 E Broadway Ave , Jackson WY 83001-8642. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stephens, Elisa can be contacted via phone (307) 733-2046.

Contact Information

Primary practice address
640 E Broadway Ave Jackson WY 83001-8642
Phone: (307) 733-2046
Fax: (307) 733-6289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN165748 Arizona
Nursing Service Providers / Licensed Practical Nurse 164W00000X AP3882 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 38889.1584 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 38889.1584 Wyoming

Profile Details

NPI number 1730483082
LBN Legal business name Stephens, Elisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2010
Last updated Jan 21st, 2022 - about 2 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.

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