Individual
STACI LOWREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
531 MAIN ST, WALNUT, MS 38683-9349
(662) 223-4011
Mailing address
PO BOX 154, MYRTLE, MS 38650-0154
(662) 316-6458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906289
MS
Other
Enumeration date
08/31/2021
Last updated
04/12/2024
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