Individual
MRS. JERUSHA DEGROOTE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4500 I 55 N, SUITE 128, JACKSON, MS 39211-5930
(601) 366-7721
(601) 366-7649
Mailing address
4500 I 55 N, SUITE 128, JACKSON, MS 39211-5930
(601) 366-7721
(601) 366-7649
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00001
MS
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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