Stevenson, Jessica

Stevenson, Jessica is an individual health care provider with primary practice located at 1130 Ocean Drive Suite A , Homer AK 99603. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Stevenson, Jessica can be contacted via phone (907) 235-4733.

Contact Information

Primary practice address
1130 Ocean Drive Suite A Homer AK 99603
Phone: (907) 235-4733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1073105912
LBN Legal business name Stevenson, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Apr 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073105912 NPPES
Alaska MEDICAID 1020987

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