NPI 1770411803

Elaina Stanford

Practitioner Clinical Exercise Physiologist Jackson, MS

Practice location

Address: 2308 Timber Falls Dr, Jackson, MS 39212-2347
Phone: (601) 596-5082

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1770411803
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2026
Record last updated: 11 May 2026

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.