ELISA STEPHENS NP NPI 1730483082

NPI Information

NPI: 1730483082
Provider Name: ELISA STEPHENS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
640 E BROADWAY AVE
JACKSON, WY
ZIP 83001
Phone: (307) 733-2046
Get Directions

Elisa Stephens, NP is a psychiatric/mental health nurse practitioner in Jackson, WY with 14 years of experience. Elisa Stephens, NP NPI is 1730483082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

640 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (307) 733-2046
Fax: (307) 733-6289

The NPI 1730483082 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 1/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN165748	ARIZONA	No
2	164W00000X	Licensed Practical Nurse		AP3882	ARIZONA	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	38889.1584	WYOMING	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	38889.1584	WYOMING	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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