Individual
DOROTHY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3531 LAKELAND DR STE 1060, FLOWOOD, MS 39232-8016
(601) 420-5810
Mailing address
111 ELCREST ST, JACKSON, MS 39209-3232
(601) 863-6978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907285
MS
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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