Provider Demographics
NPI:1790133890
Name:MCALLISTER, STEPHEN (APRN-NP, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:APRN-NP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13234 DURHAM CIR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8330
Mailing Address - Country:US
Mailing Address - Phone:614-595-2077
Mailing Address - Fax:
Practice Address - Street 1:8483 TORWOODLEE CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-9739
Practice Address - Country:US
Practice Address - Phone:855-677-1677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2023-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.357376163W00000X
OHAPRN.CNP.0029225363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse