Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHENIE C JACKSON, PMHNP
Active Sole ProprietorSTEPHENIE C JACKSON, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MATTAPAN, Massachusetts. NPI 1427722917 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MATTAPAN, MA
Registration Details
- NPI Number
- 1427722917
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2021 (5.0050126857422 yrs)
- Last Updated
- Mar 25, 2025
- Licenses
-
2118 (MA)6873 (MA)RN2288835 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 W SELDEN STMATTAPAN, MA, 021262348Browse MA providers · Browse ZIP 02126
- Phone
- 6174077879
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Nurse Anesthetist, Certified
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MATTAPAN, MA
| Name | Credential | NPI |
|---|---|---|
| RUTH A. RACZKOWSKI | N.P. | 1770512956 |
| MS. SHAUNTELLE MALCOLM | RN | 1225468804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.