Mrs Jerusha Degroote Stephens, LAC is a
Acupuncturist based in Jackson, Mississippi. Mrs Jerusha Degroote Stephens is licensed to practice in Mississippi (license number AC00001) and her current practice location is
4500 I 55 N, Suite 128, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 366-7721.
NPI number for Mrs Jerusha Degroote Stephens is 1316287675 and her current mailing address is 4500 I 55 N, Suite 128, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316287675.
Healthcare Provider's Profile
| Full Name | Mrs Jerusha Degroote Stephens |
|---|
| Gender | Female |
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| Speciality | Acupuncturist |
|---|
| Location | 4500 I 55 N, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316287675
- Provider Enumeration Date: 02/25/2013
- Last Update Date: 02/25/2013
Medical Identifiers
Medical identifiers for Mrs Jerusha Degroote Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316287675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC00001 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jerusha Degroote Stephens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jerusha Degroote Stephens, LAC
4500 I 55 N, Suite 128,
Jackson, MS 39211-5930
Ph: (601) 366-7721 | Mrs Jerusha Degroote Stephens, LAC
4500 I 55 N, Suite 128,
Jackson, MS 39211-5930
Ph: (601) 366-7721 |
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