Healthcare Provider Details

I. General information

NPI: 1184864035
Provider Name (Legal Business Name): MONICA L STEPHERSON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA LEANN STEPHERSON CNP

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 N HIGH ST STE 201
COLUMBUS OH
43214-1295
US

IV. Provider business mailing address

5354 N HIGH ST STE 201
COLUMBUS OH
43214-1295
US

V. Phone/Fax

Practice location:
  • Phone: 740-851-1325
  • Fax: 740-733-2122
Mailing address:
  • Phone: 740-851-1325
  • Fax: 740-733-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.19012
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025001176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: