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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK STEPHENSON

Active Sole Proprietor

JACK STEPHENSON is a Registered Nurse healthcare provider located in FORT GORDON, Georgia. NPI 1457926735 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · FORT GORDON, GA

Registration Details

NPI Number
1457926735
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2021 (5.251117474912 yrs)
Last Updated
May 20, 2021
License
1-168935 (AL)
Sole Proprietor
Yes

Practice Information

Address
300 EAST HOSPITAL ROAD
FORT GORDON, GA, 30905
Browse GA providers · Browse ZIP 30905
Phone
7067875811
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in FORT GORDON, GA

Name Credential NPI
MRS. ALISON CAMILLE MURRAY RN 1588647341
MS. LAURISSA RANEEK FOLK RN, BSN 1962564757
MS. JENNIFER A WELDER R.N. 1760534408
MRS. AMANDA Q RABUN RN 1336291871
MRS. JAN PARISOT EDWARDS RN,BSN,OCN 1669646758
MS. CAROLYN JOHNSON 1679748446
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.