JEAN STEVENSON (NPI# 1124446943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124446943 |
| Entity Type | Individual |
| Full Name | JEAN STEVENSON |
| Other Name | JEAN. D. EDMONDS |
| Credential | STATE DRIVERS LICENS |
| Practice Address |
1001 Las Palmas Entrada Ave Apt. 2909 Henderson NV 89012-4486 |
| Practice Telephone | 7024432227 |
| Practice Fax Number | 7024557548 |
| Mailing Telephone | 7024432227 |
| Mailing Fax Number | 7024557548 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2103021496 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 00001004730 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740323294 | Jean S Stevenson | Pediatrics | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-15 |
| 1609800010 | Jean T Stevenson | Surgery | 2500 Metrohealth Dr, Mhmc-surgery/oncology, Cleveland, OH 44109-1900 | 2006-07-10 |
| Street Address |
1001 LAS PALMAS ENTRADA AVE APT. 2909 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-4486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1952917833 | Kimberly Alison-maribbay Badiola | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2020-09-16 |
| 1386260792 | Anew Family Medical Pllc | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2020-06-22 |
| 1346866019 | Tri-star Primary Care LLC | Nurse Practitioner | 10624 S Eastern Ave Ste H, Henderson, NV 89052-2983 | 2020-06-18 |
| 1588288617 | Sierra Wellness LLC | Nurse Practitioner | 1694 Wicklow Way, Henderson, NV 89014-6048 | 2020-06-04 |
| 1346887809 | Jessica Annekathleen Miller | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2019-12-04 |
| 1083190789 | Vitalina Adamchevska | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2018-07-16 |
| 1528563467 | Ronald Reny Dampog | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-03-23 |
| 1366943227 | Casa Medical Hospitalist LLC | Nurse Practitioner | 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | 2018-02-26 |
| 1609394840 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-09-08 |
| Find all providers in HENDERSON | ||||
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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.