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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JERUSHA DEGROOTE STEPHENS, LAC

Active Sole Proprietor

MRS. JERUSHA DEGROOTE STEPHENS, LAC is a Acupuncturist healthcare provider located in JACKSON, Mississippi. NPI 1316287675 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · JACKSON, MS

Registration Details

NPI Number
1316287675
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2013 (13.430654785617 yrs)
Last Updated
Feb 25, 2013
License
AC00001 (MS)
Sole Proprietor
Yes

Practice Information

Address
4500 I 55 N
SUITE 128
JACKSON, MS, 392115930
Browse MS providers · Browse ZIP 39211
Phone
6013667721
Fax
6013667649
Primary Specialty
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.