Individual
TERESA KAYE STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 SUNSET DR, STE A, GRENADA, MS 38901-4081
(662) 226-1646
(662) 227-1599
Mailing address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
(662) 307-2887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MSR831167
MS
363LF0000X
Family Nurse Practitioner
R831167
MS
Other
Enumeration date
08/22/2011
Last updated
07/13/2024
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