JACQUELINE M. STEVENS NP NPI 1265492599

NPI Information

Jacqueline M. Stevens, NP is a family nurse practitioner in Fort Wayne, IN. Jacqueline M. Stevens, NP NPI is 1265492599. 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:

7916 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-140
Phone: (260) 432-2297
Fax: (260) 434-6420

The NPI 1265492599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/9/2014.

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:

Other Identifiers

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

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