MEDICARE: JUBILEE WELLNESS COLLECTIVE

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	367A00000X	Advanced Practice Midwife
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1528923877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUBILEE WELLNESS COLLECTIVE

Provider Business Mailing Address
First Line	:	10508 S BEAR CREEK RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-4816
Country	:	US
Telephone Number	:	850-819-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	10508 S BEAR CREEK RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-4816
Country	:	US
Telephone Number	:	850-819-5241
Fax Number	:

Authorized Official
Title or Position	:	CEO, OWNER
Name	:	CRISTINA STEVENSON
Credential	:	APRN, PMHNP, CNM
Telephone Number	:	850-819-5241

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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