MRS. Jerusha Degroote Stephens, LAC

NPI #1316287675 in Jackson, Mississippi

Provider Information

NPI Number: 1316287675
Entity Type: Individual
Name: MRS. Jerusha Degroote Stephens, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Feb 25, 2013
Last Updated: Feb 25, 2013

Practice Location

Address: 4500 I 55 N
Address 2: SUITE 128
City: Jackson
State: Mississippi
ZIP Code: 39211-5930
Phone: (601) 366-7721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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