Individual
NORMA FAYE STOCKSTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 AMERICAN WAY, PICAYUNE, MS 39466-6664
(601) 799-0154
Mailing address
13 AMERICAN WAY, PICAYUNE, MS 39466-6664
(601) 799-0154
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P254245
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770182
—
MS
Enumeration date
11/01/2006
Last updated
07/09/2007
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