Jeremy Scott Stevens
Individual provider Active NPI Registered Nurse · Eustace, TX
NPI 1982104402 · NPPES record last updated Feb 21, 2018
Key facts
- NPI
- 1982104402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 866747 (TX)
- Practice address
- 14749 Dusti Rd
Eustace, TX 75124-5543 - Phone
- (972) 467-4465
- NPI assigned
- Feb 21, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866747 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 866747 | TX | Yes |
Addresses
Primary practice location
14749 Dusti Rd
Eustace, TX 75124-5543
Mailing address
14749 Dusti Rd
Eustace, TX 75124-5543
Phone (972) 467-4465
Other providers in Eustace, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.