Jacqueline Stevens, MD, PhD
Dermatologist in South Burlington, VT
Registered providerLicense # listed (VT)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 350 Tilley Dr Ste 201, South Burlington, VT 05403
- Phone
- (802) 847-4570
- Listed under
- Individual clinicians
- NPI
- 1932722956
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD, PhD
- License number on NPI record
- 042.0019272 (VT)
- NPI first issued
- May 26, 2020
- Years since NPI first issued
- 6 years (since 2020)
- License state on NPI record
- VT
- NPI record last updated
- Jul 16, 2026
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2020 (6 years ago)
- Professional school (CMS)
- University of Virginia School of Medicine
- Medicare group practice (CMS)
- Brigham and Womens Physicians Organization INC (2,994 clinicians); University of Vermont Medical Center INC (1,208 clinicians)
- Practice locations on file with Medicare (CMS)
- 5
- Other practice locations (NPPES)
- 1: Boston, MA
- Other dermatology listings at this street address
- 1
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