Jaquetta Jarae Stevenson, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

110221 Issued in OK

Practice address

109 NE 40TH St
Oklahoma City, OK 73105-2415

Phone

(405) 785-4996

Fax

(833) 973-5942

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frelyn Loughridge Family Nurse Practitioner PC

  • Family Nurse Practitioner
  • Ardmore, OK
  • NPI 1730453846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1346882032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MICHELIN RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011085",
            "telephone_number": "580-224-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NE 40TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052415",
            "telephone_number": "405-785-4996",
            "fax_number": "833-973-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JAQUETTA",
        "middle_name": "JARAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "110221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thomas Stevenson II, CRNA
• Avery Gerard Stevenson Jr.
• Bryant Stevenson
• Elana Stevenson
• Grace Stevenson
• Latesha S Stevenson, LPC
• Mae Stevenson
• Jacob Kyle Steverson, P.A.
• Charles R Steves, MD
• Jennifer Steward, PHARM.D.

• Primary Care Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.