Individual
DR. JENNIFER STEWART MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 844-3583
(662) 840-8354
Mailing address
PO BOX 2180, TUPELO, MS 38803-2180
(662) 844-3583
(662) 840-8354
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A2377
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770450
—
MS
Enumeration date
04/04/2007
Last updated
07/08/2013
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