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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497150056 NPPES
Mississippi MEDICAID 03623229
Mississippi Other 1X9165
Mississippi Other 1276690

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