Individual
MRS. STEPHANIE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
508 US-61, NATCHEZ, MS 39120
(601) 861-1631
Mailing address
508 US-61, NATCHEZ, MS 39120
(601) 861-1631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904176
MS
Other
Enumeration date
01/16/2021
Last updated
05/17/2023
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