Individual
MARIA M STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 377-3808
(662) 377-3873
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R826774
MS
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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