Individual
JACQUELINE MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3116 N DUKE ST, DURHAM, NC 27704-2102
(919) 490-9888
(919) 471-8653
Mailing address
3116 N DUKE ST, DURHAM, NC 27704-2102
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-02524
NC
208000000X
Pediatrics Physician
Primary
2022-02524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
05/06/2010
Last updated
01/26/2024
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