Individual
STEPHANIE R ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2338 UPPER TRENT WAY, VANDALIA, OH 45377-9411
(937) 241-4354
(937) 241-4354
Mailing address
2338 UPPER TRENT WAY, VANDALIA, OH 45377-9411
(937) 241-4354
(937) 241-4354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.325261
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0039496
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LE-00057009
OH
Other
Enumeration date
06/09/2025
Last updated
04/18/2026
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