Stephenie Jackson-wilson, PMHNP - Counselor in Mattapan, MA

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Stephenie Jackson-wilson, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Mattapan, Massachusetts. Stephenie Jackson-wilson is licensed to practice in Massachusetts (license number 2288835) and her current practice location is 119 W Selden St, Mattapan, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 407-7879.

NPI number for Stephenie Jackson-wilson is 1427722917 and her current mailing address is 119 W Selden St, Mattapan, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427722917.

Contact Information

Stephenie Jackson-wilson, PMHNP
119 W Selden St,
Mattapan, MA 02126-2348
(617) 407-7879
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStephenie Jackson-wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location119 W Selden St, Mattapan, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427722917
  • Provider Enumeration Date: 08/06/2021
  • Last Update Date: 01/25/2024

Medical Identifiers

Medical identifiers for Stephenie Jackson-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427722917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 2118 (Massachusetts)Secondary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 6873 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2288835 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephenie Jackson-wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephenie Jackson-wilson, PMHNP
119 W Selden St,
Mattapan, MA 02126-2348

Ph: (617) 407-7879		Stephenie Jackson-wilson, PMHNP
119 W Selden St,
Mattapan, MA 02126-2348

Ph: (617) 407-7879

Reviews and Comments


Nurse Practitioner in Mattapan, MA


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