Provider Demographics
NPI:1093469686
Name:STEWART, JANETTE N
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:N
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 HARTSOOK RD
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:OH
Mailing Address - Zip Code:45686-9104
Mailing Address - Country:US
Mailing Address - Phone:740-853-3133
Mailing Address - Fax:
Practice Address - Street 1:769 HARTSOOK RD
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:OH
Practice Address - Zip Code:45686-9104
Practice Address - Country:US
Practice Address - Phone:740-853-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant