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Individual

MRS. STEPHANIE LYNN WHITMIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
2007 HIGHWAY 82, ETHELSVILLE, AL 35461-3097
(662) 386-0501

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R872661
MS
363L00000X
Nurse Practitioner
Primary
906649
MS

Other

Enumeration date
03/31/2019
Last updated
03/13/2025
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