Individual
STEPHANIE MELINDA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WOODLAND DR # 1530, WINONA, MS 38967-1530
(662) 283-3060
Mailing address
11310 STEWART WEIR RD, STEWART, MS 39767-5625
(662) 552-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904045
MS
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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