Stewart-Willis, Jada Jerusha
Stewart-Willis, Jada Jerusha is an individual health care provider with primary practice located at 10000 Bay Pines Blvd , Bay Pines FL 33744-8200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stewart-Willis, Jada Jerusha can be contacted via phone (727) 398-6661.Contact Information
Primary practice address
10000 Bay Pines Blvd
Bay Pines FL 33744-8200
Phone: (727) 398-6661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY9818 | Florida |
Profile Details
| NPI number | 1699204594 |
|---|---|
| LBN Legal business name | Stewart-Willis, Jada Jerusha |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Jun 6th, 2017 - about 9 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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