Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Credostar Psychiatric Nursing Corporation

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1164237400

Credostar Psychiatric Nursing Corporation is a Psychiatric/Mental Health Nurse Practitioner in Stockton, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4719 Quail Lakes Dr Ste G1108
Stockton, CA 95207-8140
Phone: (832) 904-6531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1164237400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osita Nlemchukwu — Ceo · (832) 904-6531
Other names Credostar Psychiatric Nursing Corporation
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address4719 Quail Lakes Dr Ste G1108, Stockton, CA 95207-8140

Other providers in Stockton