Healthcare Provider Details

I. General information

NPI: 1700728177
Provider Name (Legal Business Name): JENNIFER JOANNE STEVESON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER JOANNE MCCOY PMHNP

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5990 S HOSPITAL DR
GLOBE AZ
85501-9462
US

IV. Provider business mailing address

5990 S HOSPITAL DR
GLOBE AZ
85501-9462
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-3261
  • Fax:
Mailing address:
  • Phone: 928-425-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number338148
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: