Stephenie C Jackson, PMHNP
NPI #1427722917 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1427722917
- Entity Type
- Individual
- Name
- Stephenie C Jackson, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP
- Enumeration Date
- Aug 6, 2021
- Last Updated
- Mar 25, 2025
Practice Location
- Address
- 119 W SELDEN ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2348
- Phone
- (617) 407-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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| MS. Shauntelle Malcolm, RN |  AI Deep Dive |
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Organizations
| Provider Name | |
|---|---|
| Rosefan Family and Behavioral Health Center LLC | AI Deep Dive |
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