| Doctor Name: | DAWN MANGUM STEWART |
| NPI Number: | 1184947038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN RN FNP-BC |
| License Number: | 14692 |
| Business Practice Address: | 76 Tabb Dr Suite E Munford, TN - 380588611 |
| Business Phone Number: | 9018402102 |
| Business Fax Number: | 9018401979 |
| Mailing Address: | 8097 Freudenberg Dr, MILLINGTON |
| State: | TN |
| Postal Code: | 380535621 |
| Phone Number: | 9018292304 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2010 |
| NPI Last Update Date: | 03/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 14692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |