MEDICARE: JESSICA MEROPI STEVENSON MSN, APRN, 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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.023882	OH

General Provider Information

NPI Number	:	1205395407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MEROPI STEVENSON MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	5400 FRANTZ RD STE 250
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-6102
Country	:	US
Telephone Number	:	614-533-6535
Fax Number	:	614-544-6370

Provider Business Practice Location Address
First Line	:	1166 DUBLIN RD STE 400
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1081
Country	:	US
Telephone Number	:	614-533-0040
Fax Number	:

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

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	05/30/2019

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