Organization
STEWART PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN STEWART (OWNER)
(901) 570-1888
Entity
Organization
Contact information
Practice address
8316 MACON TER STE 103, CORDOVA, TN 38018-8505
(901) 791-2892
(901) 791-4872
Mailing address
8316 MACON TER STE 103, CORDOVA, TN 38018-8505
(901) 791-2892
(901) 791-4872
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
21943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21943
LICENSE 21943
TN
Enumeration date
04/19/2018
Last updated
03/04/2024
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