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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SHARISSE M STEPHENSON · (Female)

NPI Number 1538358684
Status Active
Credentials MD
Entity Individual
Enumeration date 10/15/2007
Last updated 10/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01090219A
  • MA License # 233320
  • VA License # 0101281179
  • IN Medicaid 300078531
  • IN Other 090540887 MEDICARE PTAN
Hospital affiliation(s)
  • DOCTORS HOSPITAL - (Acute Care)
    9440 POPPY DR
    DALLAS, TX 75218
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN - (Acute Care)
    850 ED HALL
    KAUFMAN, TX 75142
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.

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