Stephanie D. Smith, CFNP
Nurse Practitioner, Family in Ellisville, MS. Individual provider (NPI-1).
NPI number1003055005
StatusActive
Last updated in NPPESFeb 13, 2009
Details
- NPI
- 1003055005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie D. Smith
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2009
- Last updated
- Feb 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R865285 | MS | Yes |
Practice location
1101 Hwy 11 SEllisville, MS 39437-4443
Phone 601-477-5770
Mailing address
57 Watertank RdLaurel, MS 39443-2954
Phone 601-577-1000
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All 10 Family Nurse Practitioner providers in Ellisville · All 142 providers in Ellisville
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