Individual
JENNIFER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 ADAMSON SQ STE 14, CARROLLTON, GA 30117-3252
(706) 616-1715
(706) 637-2320
Mailing address
6003 VETERANS PKWY STE 100, COLUMBUS, GA 31909-6284
(706) 223-1933
(706) 223-1934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN185752
GA
Other
Enumeration date
06/02/2016
Last updated
04/30/2024
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