Individual
MARY S. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
3701 8TH ST STE B, MERIDIAN, MS 39307-6083
(601) 286-3395
(601) 286-3245
Mailing address
10026 LIZELIA RD, MERIDIAN, MS 39305-9595
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R862927
MS
363LP2300X
Primary Care Nurse Practitioner
R862927
MS
Other
Enumeration date
10/07/2011
Last updated
01/21/2025
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