Individual
MRS. STEPHANIE JACKSON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
3901 HARDY ST, SUITE 100, HATTIESBURG, MS 39402-1636
(601) 261-5995
(601) 261-5335
Mailing address
PO BOX 17167, SUITE 100, HATTIESBURG, MS 39404-7167
(601) 261-5995
(601) 261-5335
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
1021A
AL
237600000X
Audiologist-Hearing Aid Fitter
Primary
A3163
MS
237600000X
Audiologist-Hearing Aid Fitter
A9340
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512I640023
PTAN
MS
Enumeration date
07/24/2007
Last updated
11/30/2023
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