Stewart, Jerl David

Stewart, Jerl David is an individual health care provider with primary practice located at 1000 Saint Joseph Lane , London KY 40741-8345. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stewart, Jerl David can be contacted via phone (606) 330-6000.

Contact Information

Primary practice address
1000 Saint Joseph Lane London KY 40741-8345
Phone: (606) 330-6000
Fax: (606) 330-7825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R82527 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3006450 Kentucky

Profile Details

NPI number 1689815110
LBN Legal business name Stewart, Jerl David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2009
Last updated Nov 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689815110 NPPES
Arkansas MEDICAID 177959001
Arkansas MEDICAID 7100103680

Popular Providers