NPI 1053984583

Tierra Stephens

Practitioner Prosthetic/Orthotic Supplier Ridgeland, MS

Practice location

Address: 720 Harbour Pointe Xing STE 303, Ridgeland, MS 39157-1152
Phone: (601) 301-9912
Mailing address: 583 Old Jackson Rd APT 1315, Canton, MS 39046-0515

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1053984583
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

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.