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Individual

MS. CHRISTA STAPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, FNP-C, NNP

Contact information

Practice address
431 BROAD ST, COLUMBIA, MS 39429-3056
(601) 466-3424
Mailing address
116 MADISON PL, HATTIESBURG, MS 39402-8339
(601) 466-3424

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857329
MS
363LP0200X
Pediatric Nurse Practitioner
AP121222
TX
363LP0200X
Pediatric Nurse Practitioner
R857329
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00424220
MS
05
1740319839
MS
Enumeration date
03/05/2007
Last updated
10/15/2025
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