Jackie B. Stevens in Gallup - Ambulatory Care

Jackie B. Stevens - NPI 1912181694

Jackie B. Stevens is a Ambulatory Care in Gallup, New Mexico. Jackie B. Stevens practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Jackie B. Stevens is 1912181694. The last update date is 2013-06-24.

Jackie B. Stevens's current location address is 516 E Nizhoni Blvd, Gallup, New Mexico. You can contact this provider via phone number 5057221000. The mailing address for Jackie B. Stevens is 516 E Nizhoni Blvd, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie B. Stevens
Address 516 E Nizhoni Blvd, Gallup, New Mexico
Phone Number 5057221000
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1912181694
Provider Enumeration Date 2007-12-18
Last Updated Date 2013-06-24

Provider Mailing Address Detail

Address 516 E Nizhoni Blvd
City Gallup
State New Mexico (NM)
Post Code 873015748
Phone Number 5057221000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ambulatory Care
Taxonomy 163Wp2201X
Licence No RN084342
Definition:
A registered nurse who provides care in outpatient settings.

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FAQs about Jackie B. Stevens

What is the unique 10-digit identification code assigned to Jackie B. Stevens by the Centers for Medicare & Medicaid Services?

The Jackie B. Stevens has been issued the NPI (National Provider Identifier) 1912181694, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jackie B. Stevens?

The Jackie B. Stevens is physically situated at 516 E Nizhoni Blvd, in the city of Gallup, state of NM, with the postal code 873015748.

What is Jackie B. Stevens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jackie B. Stevens is Ambulatory Care, and the taxonomy code that categorizes this field of expertise is 163Wp2201X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912181694 to Jackie B. Stevens?

The Jackie B. Stevens received its 1912181694 assignment from the Centers for Medicare & Medicaid Services on 2007-12-18.

When was the information regarding Jackie B. Stevens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jackie B. Stevens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-06-24.

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