Individual
JACKIE DEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
59516 390TH AVE, ZUMBRO FALLS, MN 55991-5161
(507) 242-6242
(507) 398-9086
Mailing address
59516 390TH AVE, ZUMBRO FALLS, MN 55991-5161
(507) 242-6242
(507) 398-9086
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP3637
MN
363LG0600X
Gerontology Nurse Practitioner
R132984-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150779-00
—
MN
Enumeration date
08/10/2006
Last updated
04/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us