Individual provider · Type 1 NPI
Nickisha Stephenson
Nurse Practitioner · Bloomfield, NJ
Practice location
471 Essex Ave
Bloomfield, NJ 07003-2812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ15584500 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902728017
Nickisha Stephenson's National Provider Identifier is 1902728017, issued on Jul 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomfield, NJ. The record was last updated on Jul 29, 2026.