Individual provider · NPI-1

Jacqueline Sue Stewart, CPNP

Nurse Practitioner, Pediatrics · Duluth, MN

NPI number1669669396

StatusActive

Last updated in NPPESFeb 6, 2012

Details

NPI: 1669669396
Entity type: Individual (NPI-1)
Name: Jacqueline Sue Stewart
Credential: CPNP
Sex: Female
Sole proprietor: No
Enumeration date: Sep 26, 2007
Last updated: Feb 6, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	R1440999	MN	Yes
363LP0200X	Nurse Practitioner, Pediatrics	158197-030	WI

Practice location

400 E 3rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951

Phone 218-786-3625 · Fax 218-786-3060

Mailing address

400 E 3rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951

Phone 218-786-3625 · Fax 218-786-3060

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