Healthcare Provider Details

I. General information

NPI: 1245179365
Provider Name (Legal Business Name): JESSICA ANNE STEWART RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 PENNSYLVANIA AVE
DELAWARE OH
43015-1522
US

IV. Provider business mailing address

74 W WILLIAM ST
DELAWARE OH
43015-2339
US

V. Phone/Fax

Practice location:
  • Phone: 740-833-1800
  • Fax:
Mailing address:
  • Phone: 740-833-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.358873
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: