Individual
JACQUELINE MAY STEWART-HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1421 E JOHNSON ST, PHILADELPHIA, PA 19138-1107
(917) 561-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
305279
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
340762
NY
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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