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

Jack Stephenson

Individual provider Registered Nurse · NPI 1457926735

Jack Stephenson is a Registered Nurse in Fort Gordon, Georgia. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2021

Practice location Address checks out

300 E Hospital Rd
Fort Gordon, GA 30905
Phone: (706) 787-5811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1-168935 (AL)

Record details

NPI number1457926735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateApril 29, 2021
Mailing address785 Michelle Ct, Grovetown, GA 30813-4867

Other providers in Fort Gordon