Stephenson, Evonne B
Stephenson, Evonne B is an sole proprietor health care provider with primary practice located at 5566 New Vienna Rd , New Vienna OH 45159-9533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stephenson, Evonne B can be contacted via phone (704) 936-5546.Contact Information
Primary practice address
5566 New Vienna Rd
New Vienna OH 45159-9533
Phone: (704) 936-5546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 024928 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.024928 | Ohio |
Profile Details
| NPI number | 1336708908 |
|---|---|
| LBN Legal business name | Stephenson, Evonne B |
| Credentials | FNP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2019 |
| Last updated | Jun 2nd, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336708908 | NPPES |
| Ohio | MEDICAID | 0383163 | |
| Ohio | MEDICAID | 0362687 |
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