Stephenson, Jacquelyn G

Stephenson, Jacquelyn G is an individual health care provider with primary practice located at 113 Gainsborough Sq Ste 201 , Chesapeake VA 23320-1714. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Stephenson, Jacquelyn G can be contacted via phone (757) 842-4620.

Contact Information

Primary practice address
113 Gainsborough Sq Ste 201 Chesapeake VA 23320-1714
Phone: (757) 842-4620
Fax: (757) 842-4621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001137127 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024164424 Virginia
Other Service Providers / Midwife 176B00000X 0024164424 Virginia

Profile Details

NPI number 1053556209
LBN Legal business name Stephenson, Jacquelyn G
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Jun 24th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053556209 NPPES
Virginia MEDICAID 1053556209

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