Individual
MS. TABITHA NICOLE STIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
123 N FRONT ST, WINONA, MS 38967-2239
(662) 283-2505
(601) 825-8130
Mailing address
207 E SIXTH ST, YAZOO CITY, MS 39194-3621
(601) 473-5780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902458
MS
Other
Enumeration date
03/21/2018
Last updated
10/13/2021
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