Jackie Lyn Stephenson, CNM

NPI #1528010345 in Oregon, Ohio

Provider Information

NPI Number: 1528010345
Entity Type: Individual
Name: Jackie Lyn Stephenson, CNM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Advanced Practice Midwife
Credential: CNM
Enumeration Date: May 17, 2006
Last Updated: Oct 1, 2019

Practice Location

Address: 2702 NAVARRE AVE STE 305
City: Oregon
State: Ohio
ZIP Code: 43616-3224
Phone: (419) 691-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X	Primary

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