Jamie Nicole Stephenson, LPN
Individual provider Active NPI Licensed Practical Nurse · Crawfordsville, IN
NPI 1972187060 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1972187060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27075564A (IN)
- Practice address
- 1908 W Crescent Dr
Crawfordsville, IN 47933-8938 - Phone
- (765) 366-3117
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27075564A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27075564A | IN | Yes |
Addresses
Primary practice location
1908 W Crescent Dr
Crawfordsville, IN 47933-8938
Mailing address
1908 W Crescent Dr
Crawfordsville, IN 47933-8938
Phone (765) 366-3117
Other providers in Crawfordsville, IN
- Brandon Joseph Stafford
- Tricia L Stanley
- Statewide Transfer Ambulance and Rescue, Inc.
- Candy Steffan
- Stephen W. Rasmussen, DDS, PC
- Dan L Stewart
- Storytime ABA Therapy Center, Inc.
- Richard L. Stout
- Marikay Stultz
- Subodh C. Debnath
All providers in Crawfordsville, IN · Licensed Practical Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.