NPI 1053556209

Jacquelyn G Stephenson, CNM

Practitioner Midwife Chesapeake, VA

Practice location

Address: 113 Gainsborough Sq STE 201, Chesapeake, VA 23320-1714
Phone: (757) 842-4620
Fax: (757) 842-4621
Mailing address: 667 Kingsborough Sq STE 101, Chesapeake, VA 23320-4999

Registered specialties (3)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 0024164424 (VA)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 0001137127 (VA)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 0024164424 (VA)

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Registry record

NPI: 1053556209
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2008
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.