Female

Kandace Stephenson

Gerontology Nurse Practitioner in Charlotte, NC(View on Map)

Full Name

Kandace Stephenson

NPI Number

1902689920

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/15/2023

Specialties

(Taxonomies)

Code

363LG0600X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

5018629

Contact
Information

Purpose

Mailing
Location

Address

909 RIDGEBROOK RD STE 300
6047 TYVOLA GLEN CIR

City

Sparks
Charlotte

State

MD
NC

Postal Code

21152-9477
28217-6431

Country

US
US

Telephone Number

(443) 483-9300
(443) 383-9300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/16/2024

Provider Address

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