Individual
JENNIFER STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
602 BRUNSON DR, TUPELO, MS 38801-4947
(662) 680-3855
(662) 680-3372
Mailing address
4835 HIGHWAY 349 S, POTTS CAMP, MS 38659-9270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952477168
—
MS
Enumeration date
11/28/2006
Last updated
08/15/2011
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