ONELLIS STANFORD

GULFPORT, MS
NPI1922237452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R869199)
Enumeration Date2009-07-06
Last Update Date2014-07-11
Business Address
-- ONELLIS STANFORD FNP
1340 BROAD AVE SUITE 310
GULFPORT, MS 39501-2404
Phone number: 228-575-1400
Mailing Address
-- ONELLIS STANFORD FNP
PO BOX 1810
GULFPORT, MS 39502-1810
Phone number: 228-864-8454
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