Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie D. Stevens

Organization Gerontology Nurse Practitioner · NPI 1366142614

Jackie D. Stevens is a Gerontology Nurse Practitioner in Zumbro Falls, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

59516 390th Ave
Zumbro Falls, MN 55991-5161
Phone: (507) 398-9086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1366142614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Stevens — Authorized Official · (507) 288-6978
Other names Psychiatric Med Management
NPI enumeratedMarch 6, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address59516 390th Ave, Zumbro Falls, MN 55991-5161

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