| Doctor Name: | JEANNE STEWART |
| NPI Number: | 1306812235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | PA04936 |
| Business Practice Address: | 2200 Bergwquist Drive Wilford Hall Abulatory Surgery Center Lackland Air Force Base, TX - 78236 |
| Business Phone Number: | 2104967999 |
| Business Fax Number: | 2104941666 |
| Mailing Address: | 2200 Bergwquist Drive, Wilford Hall Abulatory Surgery Center LACKLAND AIR FORCE BASE |
| State: | TX |
| Postal Code: | 78236 |
| Phone Number: | 2104967999 |
| Fax Number: | 2104941666 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA04936 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |