Individual
REBEKAH N STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4502 LT EUGENE J MAJURE DR, PASCAGOULA, MS 39581-5305
(228) 696-9224
(228) 696-9228
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903918
MS
Other
Enumeration date
09/04/2020
Last updated
07/28/2023
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