Provider Demographics
NPI:1336856418
Name:FELICIA BATTLE STEPHENS, SHEILAH (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHEILAH
Middle Name:
Last Name:FELICIA BATTLE STEPHENS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 SW SARDINIA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3745
Mailing Address - Country:US
Mailing Address - Phone:561-255-8813
Mailing Address - Fax:
Practice Address - Street 1:1325 S CONGRESS AVE STE 200
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5874
Practice Address - Country:US
Practice Address - Phone:561-332-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022244163WP0808X
NJ26NJ14978100163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty