STACEY FARRELL

GREENWOOD, MS
NPI1154763514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R855653)
Enumeration Date2013-07-25
Last Update Date2015-01-06
Business Address
-- STACEY FARRELL CNP
411 FULTON ST
GREENWOOD, MS 38930-4314
Phone number: 662-455-4434
Mailing Address
-- STACEY FARRELL CNP
411 FULTON ST
GREENWOOD, MS 38930-4314
Phone number: 662-455-4434