NPI 1205551066
Stacey Porter
Practice location
- Address
- 613 Marquette Rd, Brandon, MS 39042-3038
- Phone
- (601) 824-1692
- Mailing address
- PO Box 88, Brandon, MS 39043-0088
Registered specialties
Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1205551066
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2022
- Record last updated
- 6 Oct 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.