Provider Demographics
NPI:1912534314
Name:OLIVER, STELLA NJOKI (FNP)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:NJOKI
Last Name:OLIVER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14502 SPRING CYPRESS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7578
Mailing Address - Country:US
Mailing Address - Phone:281-549-5277
Mailing Address - Fax:
Practice Address - Street 1:14502 SPRING CYPRESS RD STE 500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7578
Practice Address - Country:US
Practice Address - Phone:281-549-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145698363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care