MEDICARE: JESSICA LEIGH STEVENSON L.M.

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
1	176B00000X	Midwife	MW171	FL
2	367A00000X	Advanced Practice Midwife	APRN11038195	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053457739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEIGH STEVENSON L.M.

Provider Business Mailing Address
First Line	:	1600 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3003
Country	:	US
Telephone Number	:	352-273-7660
Fax Number	:	352-392-3498

Provider Business Practice Location Address
First Line	:	PO BOX 100294
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-2944
Country	:	US
Telephone Number	:	352-278-1007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	01/30/2026

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