Derryin Ninaye Stampley, CPS
Prosthetist in Fayette, MS. Individual provider (NPI-1).
NPI number1104580109
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1104580109
- Entity type
- Individual (NPI-1)
- Name
- Derryin Ninaye Stampley
- Credential
- CPS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
| 225000000X | Orthotic Fitter | – | – |
Practice location
28 Snyder RdFayette, MS 39069-5051
Phone 601-809-6004
Mailing address
28 Snyder RdFayette, MS 39069-5051
Phone 601-809-6004
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