Jerusha Degroote Stephens, LAC

Acupuncturist · Jackson, MS

Individual Active NPI

NPI number 1316287675

Practice location

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

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NPI record

NPI
1316287675
Entity type
Individual (Type 1)
Enumeration date
February 25, 2013
Last updated
February 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X AC00001 MS

About Jerusha Stephens

Jerusha Degroote Stephens, LAC is a healthcare provider registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 4500 I 55 N, Suite 128, Jackson, MS 39211-5930. The NPI number 1316287675 was assigned on February 25, 2013 and the record was last updated on February 25, 2013.

Jerusha Stephens lists a license in the registry: #AC00001 (MS) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerusha Degroote Stephens, LAC?

The NPI number is 1316287675.

What is the phone number of Jerusha Stephens?

The phone number listed for the practice location is (601) 366-7721.

Where is Jerusha Stephens located?

4500 I 55 N, Suite 128, Jackson, MS 39211-5930.

What is the taxonomy code for Jerusha Stephens?

The primary taxonomy code is 171100000X – Acupuncturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.