Individual provider · Type 1 NPI

Jack Stephenson

Registered Nurse · Fort Gordon, GA

NPI number 1457926735 Active

Practice location

300 East Hospital Road
Fort Gordon, GA 30905

Mailing address

785 Michelle Ct
Grovetown, GA 30813-4867

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X1-168935 (AL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1457926735

Jack Stephenson's National Provider Identifier is 1457926735, issued on May 20, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Gordon, GA. The record was last updated on May 20, 2021.