Myers, Stephanie P
Myers, Stephanie P is an sole proprietor health care provider with primary practice located at 2117 Broadway Dr , Hattiesburg MS 39402-3210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Myers, Stephanie P can be contacted via phone (601) 288-8050.Contact Information
Primary practice address
2117 Broadway Dr
Hattiesburg MS 39402-3210
Phone: (601) 288-8050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 867360 | Mississippi |
Profile Details
| NPI number | 1497150056 |
|---|---|
| LBN Legal business name | Myers, Stephanie P |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2014 |
| Last updated | Jun 27th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497150056 | NPPES |
| Mississippi | MEDICAID | 03623229 | |
| Mississippi | Other | 1X9165 | |
| Mississippi | Other | 1276690 |
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