JACQUELINE SUE STEWART CPNP NPI 1669669396

NPI Information

NPI: 1669669396
Provider Name: JACQUELINE SUE STEWART, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-3625
Get Directions

Jacqueline Sue Stewart, CPNP is a pediatrics nurse practitioner in Duluth, MN. Jacqueline Sue Stewart, CPNP NPI is 1669669396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-3625
Fax: (218) 786-3060

The enumeration date for this NPI number is 9/26/2007 and was last updated on 2/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	158197-030	WISCONSIN	No
2	363LP0200X	Nurse Practitioner	Pediatrics	R1440999	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q56729	MEDICARE UPIN	VIRGINIA
2	500007291	MEDICARE PIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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