Individual
MISS STEPHANIE BROOKE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1208 GUY PICKLE RD, AMORY, MS 38821-8212
(662) 256-3120
(662) 256-7092
Mailing address
1208 GUY PICKLE RD, AMORY, MS 38821-8212
(662) 256-3120
(662) 256-7092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903036
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07939361
—
MS
Enumeration date
11/16/2018
Last updated
11/21/2022
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