Individual provider · Type 1 NPI
Idongesit J. Stephens, FNP
Psychiatric/Mental Health Nurse Practitioner · Chino, CA
NPI number
1467964114
Active
Practice location
12598 Central Ave Ste 219
Chino, CA 91710-3530
Mailing address
13421 Sumter St
Fontana, CA 92336-5425
Other practice locations
- 8710 Monroe Ct, Rancho Cucamonga, CA 91730-4883 · (909) 941-4870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005848 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95005848 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1467964114
Idongesit J. Stephens, FNP's National Provider Identifier is 1467964114, issued on Nov 2, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chino, CA. The record was last updated on Sep 28, 2021.