Individual
KATHERINE STOCKSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
618 BLUE MEADOW RD, BAY SAINT LOUIS, MS 39520-2834
(228) 467-1320
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
903232
MS
Other
Enumeration date
02/26/2019
Last updated
06/07/2019
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