IndividualActive
Cameron Stephenson, NP
NPI 1790065738 · Psychiatric/Mental Health Nurse Practitioner · Rexburg, ID
Provider details
- NPI number
- 1790065738
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 3009120 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 359-6498
Fax: (208) 488-4702
Approximate (ZIP-level) locationGet directions
Mailing address
393 E 2nd N
Rexburg, ID 83440-1605
Registry dates
- Enumerated
- 2011-08-22
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.