Individual
MALLORY STOCKSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1146 EVELYN GANDY PKWY, PETAL, MS 39465-3947
(601) 584-4309
(601) 584-4890
Mailing address
1146 EVELYN GANDY PKWY, PETAL, MS 39465-3947
(601) 584-4309
(601) 584-4890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904135
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904135
LICENSE VERIFICATION
MS
Enumeration date
09/24/2020
Last updated
04/26/2022
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