Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Stephens

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285117606

Shane Stephens is a Psychiatric/Mental Health Nurse Practitioner in Johnson City, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018

Practice location Address checks out

701 Med Tech Pkwy
Johnson City, TN 37604-2365
Phone: (423) 302-3480
Fax: (423) 833-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Executive Park Blvd, Kingsport, TN 37660-4620 — (833) 370-7433

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 24695 (TN)

Record details

NPI number1285117606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2018
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

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