Organization
STEGALL FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE STEGALL CFNP (NURSE PRACTITIONER/OWNER)
(662) 419-9148
Entity
Organization
Contact information
Practice address
395 TIMBER CREEK DR, PONTOTOC, MS 38863-8043
(662) 419-9148
Mailing address
395 TIMBER CREEK DR, PONTOTOC, MS 38863-8043
(662) 419-9148
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/16/2023
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