Individual
MICHAELA STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1788
(662) 756-1694
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1788
(662) 756-1694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905842
MS
363LP0200X
Pediatric Nurse Practitioner
905842
MS
Other
Enumeration date
02/23/2023
Last updated
07/17/2024
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