Individual
MRS. STEPHANIE CRESHELL RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 STATE BLVD, MERIDIAN, MS 39307-5033
(601) 282-8226
(601) 512-0443
Mailing address
2399 LONG CREEK RD, MERIDIAN, MS 39301-9342
(601) 701-5609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
235559
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904782
MS
Other
Enumeration date
07/30/2021
Last updated
11/25/2024
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