NPI 1316287675

Jerusha Degroote Stephens, LAC

Practitioner Acupuncturist Jackson, MS

Practice location

Address: 4500 I 55 N Suite 128, Jackson, MS 39211-5930
Phone: (601) 366-7721
Fax: (601) 366-7649

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC00001 (MS)

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Registry record

NPI: 1316287675
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2013
Record last updated: 25 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.