Healthcare Provider Details

I. General information

NPI: 1811800592
Provider Name (Legal Business Name): SHERI JEAN STEVENS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11513 MACLAY CT
JACKSONVILLE FL
32225-1076
US

IV. Provider business mailing address

11513 MACLAY CT
JACKSONVILLE FL
32225-1076
US

V. Phone/Fax

Practice location:
  • Phone: 904-323-7469
  • Fax:
Mailing address:
  • Phone: 904-323-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN9331996
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: