STEPHANIE D. SMITH

ELLISVILLE, MS
NPI1003055005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R865285)
Enumeration Date2009-02-13
Last Update Date2009-02-13
Business Address
Mrs. STEPHANIE D. SMITH CFNP
1101 HWY 11 S
ELLISVILLE, MS 39437-4443
Phone number: 601-477-5770
Mailing Address
Mrs. STEPHANIE D. SMITH CFNP
57 WATERTANK RD
LAUREL, MS 39443-2954
Phone number: 601-577-1000