Individual
MRS. PAULA H STENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9359
(662) 210-3857
Mailing address
45 COUNTY ROAD 1219, BOONEVILLE, MS 38829-7650
(662) 210-3857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R124170
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000690540-0003
UNITED HEALTH CARE
—
05
—
00120901
—
MS
Enumeration date
01/03/2007
Last updated
01/18/2012
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