Individual
JASON CASEY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8110 CORDOVA RD STE 111, CORDOVA, TN 38016-0522
(901) 752-6963
(901) 432-0070
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000017746
TN
Other
Enumeration date
07/31/2013
Last updated
01/14/2020
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