NPI 1023555190

Stephanie Keith, PAC

Practitioner Physician Assistant Jackson, MS

Practice location

Address: 1659 Lelia Dr, Jackson, MS 39216-4818
Phone: (601) 910-3004
Fax: (601) 910-3005
Mailing address: 815 Highway 80 E, Clinton, MS 39056-5252

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00311 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1023555190
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2017
Record last updated: 1 Jun 2026

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.