NPI 1104580109

Derryin Ninaye Stampley, CPS

Practitioner Prosthetist Fayette, MS

Practice location

Address: 28 Snyder Rd, Fayette, MS 39069-5051
Phone: (601) 809-6004

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1104580109
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2021
Record last updated: 26 Oct 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.