Provider Demographics
NPI:1023524089
Name:STEWART, DOVIE (FNP-C)
Entity type:Individual
Prefix:
First Name:DOVIE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:FREER
Mailing Address - State:TX
Mailing Address - Zip Code:78357-0936
Mailing Address - Country:US
Mailing Address - Phone:361-389-1348
Mailing Address - Fax:
Practice Address - Street 1:779 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-3883
Practice Address - Country:US
Practice Address - Phone:361-668-0919
Practice Address - Fax:361-668-0816
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily