Individual
STEPHANIE HARBOUR MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 VETERANS MEMORIAL BLVD, EUPORA, MS 39744-2064
(662) 258-7200
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874238
MS
364SE0003X
Emergency Clinical Nurse Specialist
R874238
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E06240009
AMERICAN ACADEMY OF NURSE PRACTITIONERS ( EMERGENCY NURSE PRACTITIONER)
—
01
—
F0315104
AMERICAN ACADEMY OF NURSE PRACTITIONERS (FAMILY NURSE PRACTITIONER)
—
Enumeration date
03/16/2015
Last updated
06/11/2024
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