| NPI | 1336708908 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2019-06-07 |
| Last Updated | 2026-05-22 |
| Mailing Address | 4651 Charlotte Park Dr Ste 300 Charlotte, NC 28217-1916 United States Phone: (704) 936-5546 📍 View Map |
| Primary Practice Address | 5566 New Vienna Rd New Vienna, OH 45159-9533 United States Phone: (704) 936-5546 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OH | 0362687 | - |
| MEDICAID | OH | 0383163 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | OH | 024928 |
| No | 363LF0000X – Nurse Practitioner, Family | OH | APRN.CNP.024928 |
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About NPI 1336708908
Evonne B Stephenson FNP-C, PMHNP-BC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336708908. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in New Vienna, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-06-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336708908?
NPI 1336708908 belongs to Evonne B Stephenson FNP-C, PMHNP-BC, a Nurse Practitioner, Psych/Mental Health in New Vienna, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336708908 active?
The current status of NPI 1336708908 in the NPPES registry is Active. The record was last updated on 2026-05-22.
What specialty is NPI 1336708908?
NPI 1336708908 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336708908?
You can verify NPI 1336708908 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336708908?
The primary practice address on file for NPI 1336708908 is 5566 New Vienna Rd, New Vienna, OH 45159-9533. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336708908 issued?
NPI 1336708908 was first issued (enumerated) on 2019-06-07. The NPPES record was last updated on 2026-05-22.
Practice Location Map
Evonne B Stephenson is located at 5566 New Vienna Rd, New Vienna, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Evonne B Stephenson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336708908. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 024928 | OH |
| Nurse Practitioner, Family | APRN.CNP.024928 | OH |