Jacquelyn B Stevens, MD
Ophthalmology in Malden, Massachusetts
1275664658- Practice location
- 452 Pleasant St, Office Of Michael S. Wiedman, M.d., Malden, MA 02148
- Phone
- 781-322-3224
- Fax
- —
- Last updated
- August 25, 2021
Jacquelyn Brooke Stevens is an Ophthalmology based in Malden, MA. Jacquelyn Brooke Stevens practices in Malden, MA and has the professional credentials of MD. The NPI Number for Jacquelyn Brooke Stevens is 1275664658 and holds a License No. 158811 (MA). The current practice location address for Jacquelyn Brooke Stevens is 452 Pleasant St, Office Of Michael S. Wiedman, M.d., Malden, MA 02148 and can be reached out via phone at 781-322-3224.
Provider Profile Details
- NPI Number
- 1275664658
- Provider Name
- Jacquelyn Brooke Stevens
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 452 Pleasant St, Office Of Michael S. Wiedman, M.d., Malden, MA 02148
- Phone Number
- 781-322-3224
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 8, 2007
- Last Update Date
- August 25, 2021
- Certification Date
- August 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 452 Pleasant St
Office Of Michael S. Wiedman, M.d.
Malden, MA 02148 - City
- Malden
- State
- Massachusetts
- Zip
- 02148
- Phone Number
- 781-322-3224
Provider Business Mailing Address Details
- Address
- 109 Trapelo RD
Lincoln, MA 01773-2811 - City
- Lincoln
- State
- MA
- Zip
- 01773-2811
- Phone Number
- 781-322-3224
License Information
- License Number (1)
- 158811
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 158811
- License State (2)
- MA
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacquelyn B Stevens, MD?
The NPI number of Jacquelyn B Stevens, MD is 1275664658. It was assigned on March 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Jacquelyn B Stevens, MD?
Jacquelyn B Stevens, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in MA under license number 158811.
Where does Jacquelyn B Stevens, MD practice?
The practice location is 452 Pleasant St, Office Of Michael S. Wiedman, M.d., Malden, MA 02148. The office can be reached at 781-322-3224 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275664658 directly on the NPPES registry website.