Individual
STEPHANIE ELYSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
589 GARFIELD ST STE 201, TUPELO, MS 38801-6301
(662) 680-5565
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902896
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006132262
—
MS
Enumeration date
09/27/2018
Last updated
02/09/2026
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