| NPI | 1003516113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STEGALL Nurse Practitioner/Owner 662-419-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-16 |