Individual
MS. NICKISHA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 ESSEX AVE, BLOOMFIELD, NJ 07003-2812
(646) 798-4342
Mailing address
471 ESSEX AVE, BLOOMFIELD, NJ 07003-2812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15584500
NJ
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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