NPI 1003055005

Stephanie D. Smith, CFNP

Practitioner Family Nurse Practitioner Ellisville, MS

Practice location

Address: 1101 Hwy 11 S, Ellisville, MS 39437-4443
Phone: (601) 477-5770
Mailing address: 57 Watertank Rd, Laurel, MS 39443-2954

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence R865285 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1003055005
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2009
Record last updated: 13 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.