Individual
FLORA E STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 PEOPLES DR # A, PONTOTOC, MS 38863-8990
(662) 489-7777
(662) 489-0065
Mailing address
351 PEOPLES DR # A, PONTOTOC, MS 38863-8990
(662) 489-7777
(662) 489-0065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R552003
MS
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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