Individual
MRS. EMILY JENKINS STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
425 HOSPITAL DR STE 5, COLUMBUS, MS 39705-1938
(662) 240-0095
(662) 240-0096
Mailing address
117 ROBERTS CV, STARKVILLE, MS 39759-6649
(601) 951-3208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902892
MS
Other
Enumeration date
09/11/2018
Last updated
12/09/2021
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