| Doctor Name: | SHALONNA STEWART |
| NPI Number: | 1114311297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | RN189558 |
| Business Practice Address: | 4150 Washington Rd Suite 11 Evans, GA - 308094721 |
| Business Phone Number: | 7062231224 |
| Business Fax Number: | |
| Mailing Address: | 2100 Central Ave, Suite 7 AUGUSTA |
| State: | GA |
| Postal Code: | 309046717 |
| Phone Number: | 7067365278 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN189558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |