Individual
MRS. MICHELE BRYANT MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1014 ROSE ST, SUITE A, PRENTISS, MS 39474-5271
(601) 792-2200
(601) 792-2345
Mailing address
PO BOX 667, 1014 ROSE STREET SUITE A, PRENTISS, MS 39474-0667
(601) 792-2200
(601) 792-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R667552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05851817
—
MS
01
—
12117492
CAQH
MS
Enumeration date
07/20/2006
Last updated
06/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us