Jacqueline Nicole Stumbo, APRN
Individual provider Active NPI Family Nurse Practitioner · Ironton, OH
NPI 1275938904 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1275938904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.022516 (OH)
- Practice address
- 1408 Campbell Dr
Ironton, OH 45638-2301 - Phone
- (740) 534-9202
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Ohio University, College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ironton and Lawrence County Area Community Action Organization
Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
120 N 3Rd St
Ironton, OH 45638-1574
Phone (740) 532-7855
13804 State Route 141
Kitts Hill, OH 45645-8848
Phone (740) 643-2082
1408 Campbell Dr
Ironton, OH 45638-2301
Phone (740) 534-9195
209 N 2ND St
Ironton, OH 45638-1485
Phone (740) 534-1410
305 N 5TH St
Ironton, OH 45638-1578
Hospital & facility affiliations
- St Marys Medical Center
- King'S Daughters' Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180608000773 | OH | Practitioner - Nurse Practitioner | 9436449907 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironton & Lawrence County Area Community Action Organization | Current |
Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current |
Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current |
Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current |
Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current |
Accepting new patients |
Locations
717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687
717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687
1408 Campbell Dr
Ste 201
Ironton, OH 45638
Phone (740) 442-2235
120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855
305 N 5th St
Ironton, OH 45638
1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710
1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195
13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234
10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541
55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.022516 | OH | Yes |
Addresses
Primary practice location
1408 Campbell Dr
Ironton, OH 45638-2301
Mailing address
305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858
Other providers in Ironton, OH
- Seth Stewart
- Chassity Stiltner
- Maggie Stiltner
- Christy L. Stone
- Rebecca Stone
- Elijah Sturgill
- Karla K Sturgill
- Yvonne Sturgill
- Shannon Stutz
- Dale Sullivan
All providers in Ironton, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.