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

Stephenie C Jackson, PMHNP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427722917

Stephenie C Jackson, PMHNP is an Addiction (Substance Use Disorder) Counselor in Mattapan, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

119 W Selden St
Mattapan, MA 02126-2348
Phone: (617) 407-7879
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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 RN2288835 (MA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2118 (MA)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 6873 (MA)

Record details

NPI number1427722917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedAugust 6, 2021
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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