Dr. Stephanie Fussell
Medical Oncology Hematology & Oncology Hospice and Palliative Medicine
1340 Broad Ave Ste 330
Gulfport
, Mississippi 39501-2464
Dr. Stephanie Fussell
Medical Oncology Hematology & Oncology Hospice and Palliative Medicine
1340 Broad Ave Ste 330
Gulfport
, Mississippi 39501-2464
(228) 575-1240
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About
Features
Specialties
- Hospice and Palliative Medicine
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Stephanie Fussell
- Po Box 1810
- Gulfport, MS
- Zip : 39502-1810
- Fax : (228) 575-1240
- Phone : (228) 575-1234
Second Address
- Dr. Stephanie Fussell
- 1340 Broad Ave Ste 330
- Gulfport, MS
- Zip : 39501-2464
- Fax : (228) 867-4828
- Phone : (228) 575-1234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0002X | Hospice and Palliative Medicine | 16995 | MS |
| N | 207RH0003X | Hematology & Oncology | 00025974 | AL |
| Y | 207RX0202X | Medical Oncology | 16995 | MS |
National Provider Identifier
| NPI | 1073569018 |
|---|---|
| Provider Name | Dr. Stephanie Fussell |
| First Address | Gulfport, MS 39502-1810 |
| Second Address | Gulfport, MS 39501-2464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 02/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00236384 | (05) | MS |
| 51523039 | BLUE CROSS ID# (01) | AL |
| 529501680 | (05) | AL |
| B89763 | (02) | AL |
| P00122585 | MEDICARE RAILROAD (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.