Individual provider · Type 1 NPI
Mary Stewart, PNP
Pediatric Nurse Practitioner · Gulfport, MS
NPI number
1215842869
Active
Practice location
1423 Magnolia St Apt I
Gulfport, MS 39507-3569
Mailing address
6219 Donham Ct
Mobile, AL 36618-3151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-114977 (MS) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1-114977 (AL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1215842869
Mary Stewart, PNP's National Provider Identifier is 1215842869, issued on Aug 18, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gulfport, MS. The record was last updated on Aug 18, 2026.