National Provider Identifier Database

SHARISSE M STEPHENSON, MD – NPI #1538358684
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

SHARISSE M STEPHENSON, MD
583 S CLARIZZ BLVD
BLOOMINGTON, IN47401-5515
Phone: 812-676-4460
Fax: 812-355-4092
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for SHARISSE M STEPHENSON

NPI Number 1538358684
Credentials MD
Entity Individual
Enumeration date 10/15/2007
Last updated 10/03/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • IN License #: 01090219A
  • MA License #: 233320
  • VA License #: 0101281179
  • IN Medicaid: 300078531
  • IN Other: 090540887 MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHARISSE M STEPHENSON, MD

There are currently no reviews for SHARISSE M STEPHENSON, MD


NPIdb - Home
v2.201