Individual
MARISSA LAYNE STEWART-JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6321 KENTUCKY DAM RD, PADUCAH, KY 42003-9471
(270) 898-8415
(270) 898-4753
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45314
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100176770
—
KY
Enumeration date
06/23/2010
Last updated
10/27/2020
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