Individual
STEFFANY BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 LINCOLN PKWY, SUITE 103, HATTIESBURG, MS 39402-3262
(601) 261-1600
(601) 264-5133
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1600
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R863920
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07501353
—
MS
Enumeration date
08/08/2013
Last updated
01/03/2017
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