Individual
JACQUELINE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 672-8050
(231) 672-8048
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 672-8050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704304212
MI
Other
Enumeration date
07/26/2019
Last updated
02/23/2022
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