| Doctor Name: | JESSICA STEWARD |
| NPI Number: | 1336563089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 0024171518 |
| Business Practice Address: | 11 Hunt Club Plz Ridgeley, WV - 267535213 |
| Business Phone Number: | 3047264501 |
| Business Fax Number: | 3047264051 |
| Mailing Address: | 11 Hunt Club Plz, RIDGELEY |
| State: | WV |
| Postal Code: | 267535213 |
| Phone Number: | 3047264501 |
| Fax Number: | 3047264051 |
| NPI Enumeration Date: | 02/14/2014 |
| NPI Last Update Date: | 09/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024171518 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |