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Individual

MS. REBECCA SUE STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
12261 HIGHWAY 49 STE 6, GULFPORT, MS 39503-2976
(228) 206-0550
(501) 257-5117
Mailing address
12261 HIGHWAY 49 STE 6, GULFPORT, MS 39503-2976
(228) 206-0550
(501) 257-5117

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
A03014ANP
AR
163W00000X
Registered Nurse
R79157
AR
363LF0000X
Family Nurse Practitioner
Primary
810229
MS
363LF0000X
Family Nurse Practitioner
R78522
MS

Other

Enumeration date
08/23/2006
Last updated
03/08/2021
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