Jordan E Stephens, FNP-BC, PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23112 Issued in CA

Practice address

630 Kings CT
Ukiah, CA 95482-5003

Phone

(707) 468-7700

NPI assigned

Nov 18, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northlight Health, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Bremerton, WA
  • NPI 1235922261

  Family

  NPD Authorized official
• Redwood Valley Health Clinic, Inc.

  • Family Medicine Physician
  • Redwood Valley, CA
  • NPI 1477853877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1013284041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2131",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822131",
            "telephone_number": "530-220-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 KINGS CT",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825003",
            "telephone_number": "707-468-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Naval Ave",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983124049",
            "country_code": "US",
            "telephone_number": "360-620-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 2131",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954822131",
            "country_code": "US",
            "telephone_number": "530-220-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 West Rd",
            "address_purpose": "LOCATION",
            "city": "Redwood Valley",
            "state": "CA",
            "postal_code": "954709583",
            "country_code": "US",
            "telephone_number": "707-485-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JORDAN",
        "middle_name": "E",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61631994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23112",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "80660",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61631994",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "23112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23112",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "797559",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61631992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rose Steen-Larsen, MA
• Kashmir Maciel Stefani
• Kristen S Stehling, D.O.
• Yvette Eileen Stemets, MA,LLPC
• Elizabeth Stephens, CNM
• Shelly Kay Stephens
• Rachel Stern
• Sharon Stewart, M.S., R.D.
• Sarah Sthill
• Brynn Robert Stirling, M.D.

• Family Nurse Practitioner in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.