Stewart, Jimmy Lee

Stewart, Jimmy Lee is an individual health care provider with primary practice located at 2500 North State Street Dept Of Medicine Division Of Hypertension, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stewart, Jimmy Lee can be contacted via phone (601) 984-6850.

Contact Information

Primary practice address
2500 North State Street Dept Of Medicine Division Of Hypertension Jackson MS 39216-4500
Fax: (601) 984-6853
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16401 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16401 Mississippi

Profile Details

NPI number 1497791784
LBN Legal business name Stewart, Jimmy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497791784 NPPES
Louisiana MEDICAID 1133515
Louisiana MEDICAID 00121927
Louisiana Other P00393117

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