DR. JACQUELINE G. STEPHENS (NPI# 1821649344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821649344 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE G. STEPHENS |
| Credential | PHD, APRN, AGNP-C |
| Practice Address |
406 S Railroad Ave Lamar SC 29069-2906 |
| Mailing Address |
406 S Railroad Ave Lamar SC 29069 |
| Practice Telephone | 8432608687 |
| Mailing Telephone | 8432608687 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
23281 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083853451 | Jacqueline R Stephens | Marriage & Family Therapist | 161 East Ave Ste 14c, Norwalk, CT 06851-5710 | 2009-02-09 |
| 1447687868 | Jacqueline L Stephens | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2013-09-30 |
| Street Address |
406 S RAILROAD AVE |
| City | LAMAR |
| State | SC |
| Zip Code | 29069-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073858247 | Cynthia Katko | Speech-Language Pathologist | 100 Providence Road, Lamar, SC 29069 | 2012-11-29 |
| 1538543723 | Genesis Healthcare Inc | Community Health Worker | 301 W. Main St., Lamar, SC 29069 | 2015-07-17 |
| 1558694299 | Tony Skorput, Pa | Physical Therapist | 121 West Main Street, Heirloom Plaza, Suites D & E, Lamar, SC 29069 | 2009-09-14 |
| 1669660528 | Piggly Wiggly Retail Stores, Inc. | Durable Medical Equipment & Medical Supplies | 100 Railroad Ave., Lamar, SC 29069-0625 | 2007-10-04 |
| 1265996995 | Ashley Hubbard Hilburn | Nurse Practitioner | 301 W Main St, Lamar, SC 29069-7102 | 2019-01-28 |
| 1497158778 | April Watford | Registered Nurse | 101 Mclendon St, Lamar, SC 29069-8633 | 2014-10-01 |
| 1275587834 | Wes Corporation, Inc. | Clinic/Center | 696 Davis St, Lamar, SC 29069-9132 | 2006-05-19 |
| 1558606608 | Gretchen Anne Mccathern | Physical Therapist | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2012-11-30 |
| 1366981144 | Amy Andrews Bullard | Registered Nurse | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2017-02-14 |
| 1295075349 | Catherine Cummings Parnell | Registered Nurse | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2013-02-27 |
| Find all providers in zip 29069 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114384138 | Tennille Rau | Nurse Practitioner | 201 Kendall Dr, Lamar, CO 81052-3939 | 2016-01-21 |
| 1528498045 | Sandra Summers | Nurse Practitioner | 201 Kendall Dr, Lamar, CO 81052-3939 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1871055210 | Kelli Lane Evans | Nurse Practitioner | 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 | 2019-04-04 |
| 1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
| 1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
| 1841700259 | Lyn Ivy Lipat | Nurse Practitioner | 9221 University Blvd Ste C, North Charleston, SC 29406-9148 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.