STACEY STANFORD

FLOWOOD, MS
NPI1396910865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: MS  R851094)
Additional Taxonomies363LN0000X Nurse Practitioner, Neonatal
(Licence: LA  223815)
363LN0000X Nurse Practitioner, Neonatal
(Licence: FL  APRN11038875)
163WN0002X Registered Nurse, Neonatal Intensive Care
(Licence: MS  R851094)
Enumeration Date2008-04-25
Last Update Date2026-08-02
Business Address
STACEY STANFORD NNP
5 RIVER BEND PLACE SUITE C
FLOWOOD, MS 39232
Phone number: 601-957-7345
Mailing Address
STACEY STANFORD NNP
P O BOX 320039
FLOWOOD, MS 39232
Phone number: 601-957-7345