Stephanie Farrior, AGNP
Nurse Practitioner, Adult Health in Jackson, MS. Individual provider (NPI-1).
NPI number1093358905
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1093358905
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Farrior
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2019
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 903446 | MS | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 903446 | MS |
Practice location
1325 E Fortification StJackson, MS 39202-2442
Phone 601-354-4488
Mailing address
1325 E Fortification StJackson, MS 39202-2442
Phone 601-354-4488
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All 27 Adult Health Nurse Practitioner providers in Jackson · All 8,702 providers in Jackson
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