Provider Demographics
NPI:1326899717
Name:STEPHENS, CAMELLA (DNP)
Entity Type:Individual
Prefix:DR
First Name:CAMELLA
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 INGLESTON DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5014
Mailing Address - Country:US
Mailing Address - Phone:775-848-1447
Mailing Address - Fax:
Practice Address - Street 1:5875 INGLESTON DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-5014
Practice Address - Country:US
Practice Address - Phone:775-848-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV875604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily