Provider Demographics
NPI:1558051052
Name:STEVENSON, CRISTINA E (CNM)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:E
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 RECLAMATION DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6685
Mailing Address - Country:US
Mailing Address - Phone:850-819-5241
Mailing Address - Fax:
Practice Address - Street 1:140 RECLAMATION DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6685
Practice Address - Country:US
Practice Address - Phone:850-819-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025286363LP0808X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No176B00000XOther Service ProvidersMidwife