Provider Demographics
NPI:1801687850
Name:ABAABA, STELLA ABIEDU (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:ABIEDU
Last Name:ABAABA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NA
Mailing Address - Street 1:10008 RANDALLSTOWN LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1492
Mailing Address - Country:US
Mailing Address - Phone:424-731-3115
Mailing Address - Fax:
Practice Address - Street 1:10008 RANDALLSTOWN LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1492
Practice Address - Country:US
Practice Address - Phone:424-731-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAARNP.AP.70019039-NP363LP0808X
AZ323625363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health