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 1:2321 TAYLOR PARK DR # 1109
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8052
Mailing Address - Country:US
Mailing Address - Phone:614-595-2077
Mailing Address - Fax:949-543-2708
Practice Address - Street 1:2321 TAYLOR PARK DR # 1109
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8052
Practice Address - Country:US
Practice Address - Phone:614-595-2077
Practice Address - Fax:949-543-2708
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2025-01-17
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