Provider Demographics
NPI:1740568815
Name:STEWART, DEBORAH MARGARET (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARGARET
Last Name:STEWART
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 LARUE LN
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:GA
Mailing Address - Zip Code:30421-6638
Mailing Address - Country:US
Mailing Address - Phone:912-577-5372
Mailing Address - Fax:
Practice Address - Street 1:229 LARUE LN
Practice Address - Street 2:
Practice Address - City:COLLINS
Practice Address - State:GA
Practice Address - Zip Code:30421-6638
Practice Address - Country:US
Practice Address - Phone:912-577-5372
Practice Address - Fax:912-693-6192
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-23
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN124133363LF0000X, 363LP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult