MARLEY ANN STEPHAN FNP
NPI 1104568914
Nurse Practitioner - Family in Licking, MO

Q: What is Marley Stephan's NPI number?

The NPI number for Marley Stephan is 1104568914. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Marley Stephan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marley Stephan was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2022

255 W HIGHWAY 32, LICKING, MO 65542(573) 674-4470 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marley Ann Stephan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLEY ANN STEPHAN FNP (NPI 1104568914) is an individual family provider in Licking, Missouri, licensed in Missouri (2022012951) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1104568914

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARLEY ANN STEPHANCredential: FNP

Location Address255 W HIGHWAY 32Licking, MO 65542-9076

Mailing Address1126 Highway PSalem, MO 65560-8267 · (573) 674-4470

Phone(573) 674-4470

Sole ProprietorNo

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1104568914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2022012951

255 W HIGHWAY 32, Licking, MO 65542

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIHAD Y IBRAHIM M.D.

Internal Medicine

255 W HIGHWAY 32
LICKING, MO 65542

Texas County (573) 674-4470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marley Stephan's NPI number?

The NPI number for Marley Stephan is 1104568914. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Marley Stephan located?

Marley Stephan practices at 255 W Highway 32, Licking, MO 65542. The listed phone number is (573) 674-4470.

What is Marley Stephan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marley Stephan was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.