All Medicaid billing entities listing STEVENS, JACKIE (AUTHORIZED OFFICIAL) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $709.61 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JACKIE D. STEVENS | ZUMBRO FALLS, MN | Gerontology Nurse Practitioner | $709.61 |