National Provider Identifier Database

JACKIE B STEVENS, RN – NPI #1912181694
Ambulatory Care


Contact Information

JACKIE B STEVENS, RN
516 E NIZHONI BLVD
GALLUP, NM87301-5748
Phone: 505-722-1000
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Care 163WP2201X

* Indicates primary specialty

NPI Profile & details for JACKIE B STEVENS

NPI Number 1912181694
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/18/2007
Last updated 06/24/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: RN084342
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACKIE B STEVENS, RN

There are currently no reviews for JACKIE B STEVENS, RN


NPIdb - Home
v2.201