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Individual

MICHELLE STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4215 15TH ST, GULFPORT, MS 39501-2523
(228) 863-5211
(228) 863-4041
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
869689
MS
363L00000X
Nurse Practitioner
Primary
905366
MS

Other

Enumeration date
05/11/2022
Last updated
07/28/2022
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