Individual
MRS. STEPHANIE D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1101 HWY 11 S, ELLISVILLE, MS 39437-4443
(601) 477-5770
Mailing address
57 WATERTANK RD, LAUREL, MS 39443-2954
(601) 577-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865285
MS
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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