Individual
ALISA M STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
309 REESE ST, BAY SAINT LOUIS, MS 39520-2823
(662) 571-0916
Mailing address
309 REESE ST, BAY SAINT LOUIS, MS 39520-2823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903855
MS
Other
Enumeration date
03/09/2020
Last updated
05/29/2022
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