NPI 1134102247

John A. Stevenson, PAC

Practitioner Medical Physician Assistant Meridian, MS

Practice location

Address: 1800 12th St, Meridian, MS 39301-4158
Phone: (601) 703-9639
Fax: (601) 703-3273
Mailing address: PO Box 5183, Meridian, MS 39302-5183

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA009 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1134102247
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2005
Record last updated: 22 Mar 2013

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.