Provider Demographics
NPI:1598077034
Name:STEWART, JAWAUNA (MD)
Entity Type:Individual
Prefix:DR
First Name:JAWAUNA
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JAWAUNA
Other - Middle Name:
Other - Last Name:FAULKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 BROOKWOOD TER
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1903
Mailing Address - Country:US
Mailing Address - Phone:601-329-6557
Mailing Address - Fax:
Practice Address - Street 1:113 BROOKWOOD TER
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1903
Practice Address - Country:US
Practice Address - Phone:601-329-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22576207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS5257781OtherAETNA
MS00402760Medicaid
MS3631567OtherUNITED HEALTHCARE
MS7348656OtherCIGNA
MS294535YKFFMedicare PIN