Individual
EBONY YASHICA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
5725 WRIGHTSBORO RD, GROVETOWN, GA 30813-3921
(904) 866-1459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN328429
GA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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