Individual
FELICIA S STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 E LAKESIDE DR, HATTIESBURG, MS 39402-2209
(601) 497-0964
Mailing address
202 E LAKESIDE DR, HATTIESBURG, MS 39402-2209
(601) 497-0964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
903196
MS
363LF0000X
Family Nurse Practitioner
Primary
903196
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03305228
—
MS
Enumeration date
03/12/2019
Last updated
05/03/2021
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