MRS. STEPHANIE RENAE JEZ O'CONNOR NPI 1003556317

NPI Information

NPI: 1003556317
Provider Name: MRS. STEPHANIE RENAE JEZ O'CONNOR
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4020 FOLKER ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 310-6256
Get Directions

MRS. Stephanie Renae Jez O'connor is a mental health counselor in Anchorage, AK. MRS. Stephanie Renae Jez O'connor NPI is 1003556317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4020 FOLKER ST
ANCHORAGE, AK
ZIP 99508-321
Phone: (907) 310-6256
Fax: (907) 563-2045

The enumeration date for this NPI number is 4/1/2022 and was last updated on 4/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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