MRS. STEPHANIE J DOCKINS


Address: 14831 N 177th Ave, Surprise, AZ 85388-8740
Phone: 6235333368

MRS. STEPHANIE J DOCKINS (NPI# 1114559366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114559366
Entity Type Individual
Full Name MRS. STEPHANIE J DOCKINS
Credential NP
Practice Address 14831 N 177th Ave
Surprise
AZ 85388-8740
Practice Telephone 6235333368
Mailing Telephone 6235333368
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
237258 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14831 N 177TH AVE
City SURPRISE
State AZ
Zip Code 85388-8740

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SURPRISE
Zip Code 85388

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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