NPI 1053046748
Stephanie Collum
Practice location
- Address
- 4780 I 55 N STE 105, Jackson, MS 39211-5542
- Phone
- (601) 956-4816
- Fax
- (601) 956-4817
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1053046748
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2022
- Record last updated
- 18 Jul 2022
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.