Individual
JACKIE LYN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2702 NAVARRE AVE STE 305, OREGON, OH 43616-3224
(419) 691-8000
(419) 693-0111
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43624-1120
(419) 251-2673
(419) 251-0916
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM07221
OH
Other
Enumeration date
05/17/2006
Last updated
10/01/2019
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