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Contact Information

JAQUETTA J STEVENSON, APRN-CNP
109 NE 40TH ST
OKLAHOMA CITY, OK73105-2415
 Phone: 405-785-4996
 Fax: 833-973-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAQUETTA J STEVENSON · (Female)

NPI Number 1346882032
Status Active
Credentials APRN-CNP
Entity Individual
Enumeration date 10/14/2019
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 110221
Hospital affiliation(s)
  • MERCY MEMORIAL HEALTH CENTER - (Acute Care)
    1011 FOURTEENTH AVENUE, NORTHWEST
    ARDMORE, OK 73401
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.

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