# JENNIFER DAWN STUBBLEFIELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760253801
- **Gender:** F
- **Credential:** APRN-CNP, NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WN0002X | Neonatal Intensive Care Registered Nurse | R0084888 | OK | — |
| 363LN0000X | Neonatal Nurse Practitioner | 216609 | OK | Yes |

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 05/20/2024