Individual
JAMIA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2371 METCALF WAY, SOUTHAVEN, MS 38672-1091
(901) 590-5640
Mailing address
2371 METCALF WAY, SOUTHAVEN, MS 38672-1091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R107704
AR
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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