Individual
REBECCA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
977 EMERGENCY DR, WEST POINT, MS 39773-9322
(662) 495-5232
(662) 495-1211
Mailing address
977 EMERGENCY DR, WEST POINT, MS 39773-9322
(662) 495-5232
(662) 495-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901762
MS
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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