Individual
JENNIFER M STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
5923 VICTORY AVE, INDIANAPOLIS, IN 46203-6921
(317) 413-3433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004920A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201323740
—
IN
Enumeration date
06/17/2014
Last updated
01/09/2024
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