MEDICARE: JADA STEWART CDT (GBI)

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1679442925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADA STEWART CDT (GBI)

Provider Business Mailing Address
First Line	:	10 LOUISE ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-4508
Country	:	US
Telephone Number	:	502-956-4731
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 S 16TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40210-1016
Country	:	US
Telephone Number	:	502-905-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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Directions to “ JADA STEWART CDT (GBI)” Practice Location

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