Individual
JILL E STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, PMHNP-B
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 389-6767
(706) 389-6768
Mailing address
1152 TERRAPIN CT, WATKINSVILLE, GA 30677-4165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN237122
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN237122
GA
Other
Enumeration date
09/06/2017
Last updated
08/24/2021
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