JACQUELINE SUE STEWART CPNP NPI 1669669396

NPI Information

  • NPI: 1669669396
  • Provider Name: JACQUELINE SUE STEWART, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 400 E 3RD ST
    ESSENTIA HEALTH DULUTH CLINIC
    DULUTH, MN
    ZIP 55805
  • Phone: (218) 786-3625

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NPI Details

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
1363LP0200XNurse PractitionerPediatrics158197-030WISCONSINNo
2363LP0200XNurse PractitionerPediatricsR1440999MINNESOTAYes

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
1Q56729MEDICARE UPINVIRGINIA
2500007291MEDICARE PINMINNESOTA

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: 3/30/2025

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