Pannell, Stacey Snyder

Pannell, Stacey Snyder is an individual health care provider with primary practice located at 1668 West Peace Street , Canton MS 39046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pannell, Stacey Snyder can be contacted via phone (601) 859-5213.

Contact Information

Primary practice address
1668 West Peace Street Canton MS 39046
Fax: (601) 859-8771
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R814593 Mississippi

Profile Details

NPI number 1831267756
LBN Legal business name Pannell, Stacey Snyder
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 16th, 2022 - about 2 years 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 1831267756 NPPES
Mississippi MEDICAID 03309595

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