JAQUETTA JARAE STEVENSON APRN-CNP
NPI 1346882032
Nurse Practitioner - Primary Care in Oklahoma City, OK

Active since October 14, 2019
109 NE 40TH ST, OKLAHOMA CITY, OK 73105(405) 785-4996(833) 973-5942 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Feb 26, 2025, Nov 13, 2020 and 1 more (4 updates tracked since 2019).

About Jaquetta Jarae Stevenson Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAQUETTA JARAE STEVENSON APRN-CNP (NPI 1346882032) is an individual primary care provider in Oklahoma City, Oklahoma, licensed in Oklahoma (110221) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1346882032
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJAQUETTA JARAE STEVENSONCredential: APRN-CNP
Location Address109 NE 40TH STOklahoma City, OK 73105-2415
Mailing Address1105 Michelin RdArdmore, OK 73401-1085 · (580) 224-8750
Fax(833) 973-5942
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1346882032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OK · 110221
109 NE 40TH ST, Oklahoma City, OK 73105

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
109 NE 40TH ST
OKLAHOMA CITY, OK 73105
Clinic/Center (Multi-Specialty)
109 NE 40TH ST
OKLAHOMA CITY, OK 73105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaquetta Stevenson's NPI number?

The NPI number for Jaquetta Stevenson is 1346882032. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Jaquetta Stevenson located?

Jaquetta Stevenson practices at 109 NE 40th St, Oklahoma City, OK 73105. The listed phone number is (405) 785-4996.

What is Jaquetta Stevenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jaquetta Stevenson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.