Nickisha Stephenson

Nurse Practitioner · Bloomfield, NJ

Individual Active NPI

NPI number 1902728017

Practice location

471 Essex Ave
Bloomfield, NJ 07003-2812
Phone
(646) 798-4342

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NPI record

NPI
1902728017
Entity type
Individual (Type 1)
Enumeration date
July 29, 2026
Last updated
July 29, 2026
Certified
July 29, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 26NJ15584500 NJ

About Nickisha Stephenson

Nickisha Stephenson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 471 Essex Ave, Bloomfield, NJ 07003-2812. The NPI number 1902728017 was assigned on July 29, 2026 and the record was last updated on July 29, 2026.

Nickisha Stephenson lists a license in the registry: #26NJ15584500 (NJ) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nickisha Stephenson?

The NPI number is 1902728017.

What is the phone number of Nickisha Stephenson?

The phone number listed for the practice location is (646) 798-4342.

Where is Nickisha Stephenson located?

471 Essex Ave, Bloomfield, NJ 07003-2812.

What is the taxonomy code for Nickisha Stephenson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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