Stephens, Tristin Leigh

Stephens, Tristin Leigh is an individual health care provider with primary practice located at 30 E Apple St Ste 6221 , Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stephens, Tristin Leigh can be contacted via phone (937) 208-6630.

Contact Information

Primary practice address
30 E Apple St Ste 6221 Dayton OH 45409-2939
Fax: (937) 208-6641
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.18133-NP Ohio

Profile Details

NPI number 1053780684
LBN Legal business name Stephens, Tristin Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2015
Last updated May 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053780684 NPPES
Ohio MEDICAID 0149312

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