| Doctor Name: | MRS. EDNA EUGENIA STEWART |
| NPI Number: | 1205905254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 3002563 |
| Business Practice Address: | 39 Cumberland Gap Plaza Gray, KY - 407341401 |
| Business Phone Number: | 6065269005 |
| Business Fax Number: | 6065268606 |
| Mailing Address: | P.o. Box 570, Grace Community Health Ctr. GRAY |
| State: | KY |
| Postal Code: | 40734 |
| Phone Number: | 6065269005 |
| Fax Number: | 6065268606 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3002563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |