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KELLI D STEPHENSON, FNP-C – NPI #1780989772
Family

NPI Profile for KELLI D STEPHENSON in MIAMI, OK.

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Contact Information

KELLI D STEPHENSON, FNP-C
2518 N MAIN ST
MIAMI, OK  74354-1602
 Phone: 918-540-9077
 Fax: 918-540-9080
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

 367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

 363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLI D STEPHENSON · (Female)

NPI Number 1780989772
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/21/2011
Last updated 08/13/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 225099
  • OR License # 201394741NP-PP
  • OR License # 201800264NP-PP
  • TN License # 33371
  • WA License # AP60494710
Hospital affiliation(s) Not Available
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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