Jacqueline M. Stevens in Fort Wayne - Family
Jacqueline M. Stevens - NPI 1265492599
Jacqueline M. Stevens is a Family in Fort Wayne, Indiana. Jacqueline M. Stevens practices all healthcare services and medical treatments related to Family. The NPI Number for Jacqueline M. Stevens is 1265492599. The last update date is 2014-10-09.
Jacqueline M. Stevens's current location address is 7916 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604346339 and fax number 2604346389. The mailing address for Jacqueline M. Stevens is 7916 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline M. Stevens |
|---|---|
| Address | 7916 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604346339 |
| Fax Number | 2604346389 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1265492599 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2014-10-09 |
Provider Mailing Address Detail
| Address | 7916 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044140 |
| Phone Number | 2604346339 |
| Fax Number | 2604346389 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71001809 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200250820 | IN | -- | |
| 345345 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Jacqueline M. Stevens by the Centers for Medicare & Medicaid Services (CMS)?
The Jacqueline M. Stevens has been assigned the NPI (National Provider Identifier) 1265492599. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jacqueline M. Stevens is physically located?
The Jacqueline M. Stevens is physically situated at the following address: 7916 W Jefferson Blvd, Fort Wayne, IN, 468044140.
What is Jacqueline M. Stevens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacqueline M. Stevens is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When was the Jacqueline M. Stevens's 1265492599 issued?
The Jacqueline M. Stevens's 1265492599 was issued on 2006-03-23.
As of what date was the information regarding Jacqueline M. Stevens, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline M. Stevens, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-09.