New Jersey
Division of Consumer Affairs
Stephanie Tavener
Physician Assistant
License number
25MP00195900
Date granted
03/13/2008
Date expires
08/31/2015
Class
Physician Assistant
Status
Active
licensingnj.com
ID 9703255
LAST UPDATED 2026-04-23 07:33:36 UTC
LAST UPDATED 2026-04-23 07:33:36 UTC
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