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

Jackie Stethem

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740848324

Jackie Stethem is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2019, 7 years ago. Practices with Ridge Outpatient Counseling, LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
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Practice location Address checks out

3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone: (859) 269-2325
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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 · Licence 3013689 (KY)

Record details

NPI number1740848324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESOctober 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ridge Outpatient Counseling, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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