Individual
STEPHANIE DANIELLE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382
Mailing address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R853601
MS
363LF0000X
Family Nurse Practitioner
R853601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02482207
—
MS
01
—
12085911
CAQH
MS
Enumeration date
04/05/2010
Last updated
05/08/2017
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