Stephens, Idongesit J

Stephens, Idongesit J is an individual health care provider with primary practice located at 12598 Central Ave Ste 219 , Chino CA 91710-3530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stephens, Idongesit J can be contacted via phone (909) 591-1444.

Contact Information

Primary practice address
12598 Central Ave Ste 219 Chino CA 91710-3530
Phone: (909) 591-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005848 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95005848 California

Profile Details

NPI number 1467964114
LBN Legal business name Stephens, Idongesit J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Sep 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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