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NPI Code Detail

MEDICARE: JILL E STEWART DNP, FNP-BC, PMHNP-B

MEDICARE:   JILL E STEWART  DNP, FNP-BC, PMHNP-B
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN237122GA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN237122GA

General Provider Information

NPI Number : 1629596093
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL E STEWART DNP, FNP-BC, PMHNP-B
Provider Business Mailing Address
First Line : 1152 TERRAPIN CT
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-4165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 240 MITCHELL BRIDGE RD
Second Line :
City : ATHENS
State : GA
Zip : 30606-2043
Country : US
Telephone Number : 706-389-6767
Fax Number : 706-389-6768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 08/24/2021

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Directions to “ JILL E STEWART DNP, FNP-BC, PMHNP-B” Practice Location

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