Organization Active NPI

Jubilee Wellness Collective LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1528923877
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JUBILEE WELLNESS COLLECTIVE LLC
Practice address
10508 S Bear Creek Rd
Panama City, FL 32404-4816
Phone
(850) 819-5241
Fax
(850) 724-4039
NPI assigned
Dec 18, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Cristina Stevenson, APRN, PMHNP, CNMNPI 1558051052
Title
Ceo, Owner
Phone
(850) 819-5241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Advanced Practice Midwife 367A00000X NU

Addresses

Primary practice location

10508 S Bear Creek Rd
Panama City, FL 32404-4816

Mailing address

10508 S Bear Creek Rd
Panama City, FL 32404-4816
Phone (850) 819-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216001062 FL Part B Supplier - Clinic/Group Practice 9537649942 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

10508 S Bear Creek Rd
Panama City, FL 32404
Phone (850) 819-5241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1528923877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 S BEAR CREEK RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044816",
            "telephone_number": "850-819-5241",
            "fax_number": "850-724-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 S BEAR CREEK RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044816",
            "telephone_number": "850-819-5241",
            "fax_number": "850-724-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "850-819-5241",
        "authorized_official_credential": "APRN, PMHNP, CNM"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.