Provider Demographics
NPI:1811713159
Name:STEPHENS, VONDA (MED, QP)
Entity type:Individual
Prefix:
First Name:VONDA
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:
Credentials:MED, QP
Other - Prefix:
Other - First Name:VONDA
Other - Middle Name:ANITA
Other - Last Name:ALSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1710 CHALLOCK WAY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-3737
Mailing Address - Country:US
Mailing Address - Phone:336-307-8828
Mailing Address - Fax:
Practice Address - Street 1:1710 CHALLOCK WAY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-3737
Practice Address - Country:US
Practice Address - Phone:336-307-8828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program