Individual
JODI M STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
169 GRANTS FERRY CIR, BRANDON, MS 39047-8128
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R734417
MS
363LF0000X
Family Nurse Practitioner
R734417
MS
Other
Enumeration date
08/20/2006
Last updated
07/16/2007
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