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Stephanie Kim Dewitt, NP-C
Family Nurse Practitioner in Jackson, Tennessee
NPI 1518337534

Stephanie Kim Dewitt is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Stephanie Kim Dewitt practices in Jackson, TN and has the professional credentials of NP-C. The NPI Number for Stephanie Kim Dewitt is 1518337534 and holds a License No. 20407 (Tennessee).

The current practice location address for Stephanie Kim Dewitt is 620 Skyline Dr, Jackson, TN and can be reached out via phone at 731-541-5000.

Location: 620 Skyline Dr, Jackson, TN, 38301-3923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518337534
Provider Name
Stephanie Kim Dewitt
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
620 Skyline Dr, Jackson, TN, 38301-3923
Phone Number
731-541-5000
Fax Number
Provider Enumeration Date
10/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0650197 05 TN
institution
Provider Business Practice Location Address Details
Address
620 Skyline Dr
City
Jackson
State
Tennessee
Zip
38301-3923
Phone Number
731-541-5000
Fax Number
person
Provider Business Mailing Address Details
Address
620 Skyline Dr
City
Jackson
State
Tennessee
Zip
38301-3923
Phone Number
731-541-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
20407 (Tennessee)
Definition
Definition to come...
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