JORDAN E STEPHENS FNP-BC PMHNP-BC NPI 1013284041

NPI Information

  • NPI: 1013284041
  • Provider Name: JORDAN E STEPHENS, FNP-BC, PMHNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 630 KINGS CT
    UKIAH, CA
    ZIP 95482
  • Phone: (707) 468-7700

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NPI Details

Jordan E Stephens, FNP-BC, PMHNP-BC is a family nurse practitioner in Ukiah, CA. Jordan E Stephens, FNP-BC, PMHNP-BC NPI is 1013284041. 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:

630 KINGS CT
UKIAH, CA
ZIP 95482-003
Phone: (707) 468-7700

The NPI 1013284041 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 11/18/2011 and was last updated on 1/1/2025.

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
1163W00000XRegistered Nurse797559CALIFORNIANo
2163W00000XRegistered NurseRN61631992WASHINGTONNo
3163WC1500XRegistered NurseCommunity Health80660CALIFORNIANo
4363L00000XNurse Practitioner23112CALIFORNIANo
5363LF0000XNurse PractitionerFamilyAP61631994WASHINGTONNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health23112CALIFORNIANo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61631994WASHINGTONNo
8363LF0000XNurse PractitionerFamily23112CALIFORNIAYes

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: 3/30/2025

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