| Ms Nickisha Stephenson, | |
|
471 Essex Ave, Bloomfield, NJ 07003-2812 | |
| (646) 798-4342 | |
| Not Available |
| Full Name | Ms Nickisha Stephenson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 471 Essex Ave, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902728017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ15584500 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nickisha Stephenson, 471 Essex Ave, Bloomfield, NJ 07003-2812 Ph: Not Available | Ms Nickisha Stephenson, 471 Essex Ave, Bloomfield, NJ 07003-2812 Ph: (646) 798-4342 |
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