Individual
JANA KATE STANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5200 UTAH RD, LENA, MS 39094-9142
(601) 697-9396
Mailing address
5200 UTAH RD, LENA, MS 39094-9142
(601) 697-9396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
745198
MS
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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