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NPI Code Detail

MEDICARE: JESSICA ROXANNE STEVENS FNP-C

MEDICARE:   JESSICA ROXANNE STEVENS  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner222067AZ

General Provider Information

NPI Number : 1902738867
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ROXANNE STEVENS FNP-C
Provider Business Mailing Address
First Line : 1934 E CROCUS DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4510
Country : US
Telephone Number : 623-512-5106
Fax Number :
Provider Business Practice Location Address
First Line : 1934 E CROCUS DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4510
Country : US
Telephone Number : 623-512-5106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JESSICA ROXANNE STEVENS FNP-C” Practice Location

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