Jacquelyn G Stephenson
Midwife Nurse Practitioner
10510 Jefferson Ave Suite D
Newport News
, Virginia 23601-3102
Jacquelyn G Stephenson
Midwife Nurse Practitioner
10510 Jefferson Ave Suite D
Newport News
, Virginia 23601-3102
(757) 534-5190
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About
Features
Specialties
- Midwife
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Jacquelyn G Stephenson
- 856 J Clyde Morris Blvd Ste A
- Newport News, VA
- Zip : 23601-1318
- Fax : (757) 534-5190
- Phone : (757) 594-4006
Second Address
- Jacquelyn G Stephenson
- 10510 Jefferson Ave Suite D
- Newport News, VA
- Zip : 23601-3102
- Fax : (757) 594-4735
- Phone : (757) 594-4720
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Is Jacquelyn G Stephenson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 176B00000X | Midwife | 0024164424 | VA |
| N | 363L00000X | Nurse Practitioner | 0024164424 | VA |
National Provider Identifier
| NPI | 1053556209 |
|---|---|
| Provider Name | Jacquelyn G Stephenson |
| First Address | Newport News, VA 23601-1318 |
| Second Address | Newport News, VA 23601-3102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2008 |
| Last Update Date | 17/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053556209 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.