Individual
CHEMESE STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
655 WILD HORSE LN, BRANDON, MS 39042-2382
(601) 953-5974
Mailing address
655 WILD HORSE LN, BRANDON, MS 39042-2382
(601) 953-5974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
906361
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61519132
WA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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