Individual
STEPHANIE CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, FNP-C
Contact information
Practice address
307 S. 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Mailing address
307 S. 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R804356
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126042
—
MS
Enumeration date
06/05/2006
Last updated
06/17/2019
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