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General NPI Number Information
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NPI Number | 1013284041
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Entity Type | Individual
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Provider Name | JORDAN E STEPHENS FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 630 KINGS CT
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City | UKIAH
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State | CA
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Zip | 95482-5003
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Country | US
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Telephone | 707-468-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2131
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City | UKIAH
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State | CA
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Zip | 95482-2131
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Country | US
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Telephone | 530-220-3180
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61631994
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23112
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 80660
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61631994
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 23112
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 23112
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 797559
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61631992
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License Number State | WA
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