Individual
STACEY NICOLE ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LAMAR ST, KILMICHAEL, MS 39747-9002
(662) 262-5577
Mailing address
1183 CUMBERLAND RD, MABEN, MS 39750-6633
(662) 418-7432
(662) 262-5580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907527
MS
Other
Enumeration date
08/06/2025
Last updated
01/29/2026
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