Individual
MRS. HANNAH SIMMONS STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
923 S CHURCH AVE, LOUISVILLE, MS 39339-3444
(662) 446-1972
(662) 446-1039
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 446-1972
(662) 446-1039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R865570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06350285
—
MS
Enumeration date
07/09/2012
Last updated
04/18/2016
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