Mrs. Stephanie D. Smith
Nurse Practitioner - Family Medicine
1101 Hwy 11 S
Ellisville
, Mississippi 39437-4443
Mrs. Stephanie D. Smith
Nurse Practitioner - Family Medicine
1101 Hwy 11 S
Ellisville
, Mississippi 39437-4443
(601) 577-1000
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Stephanie D. Smith
- 57 Watertank Rd
- Laurel, MS
- Zip : 39443-2954
- Phone : (601) 577-1000
Second Address
- Mrs. Stephanie D. Smith
- 1101 Hwy 11 S
- Ellisville, MS
- Zip : 39437-4443
- Phone : (601) 477-5770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R865285 | MS |
National Provider Identifier
| NPI | 1003055005 |
|---|---|
| Provider Name | Mrs. Stephanie D. Smith |
| First Address | Laurel, MS 39443-2954 |
| Second Address | Ellisville, MS 39437-4443 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2009 |
| Last Update Date | 13/02/2009 |
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.