Stanford, Stacey

Stanford, Stacey is an sole proprietor health care provider with primary practice located at 5 River Bend Place Suite C, Flowood MS 39232. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Stanford, Stacey can be contacted via phone (601) 957-7345.

Contact Information

Primary practice address
5 River Bend Place Suite C Flowood MS 39232
Phone: (601) 957-7345
Fax: (769) 251-5429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X R851094 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 223815 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R851094 Mississippi

Profile Details

NPI number 1396910865
LBN Legal business name Stanford, Stacey
Credentials NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Apr 26th, 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 1396910865 NPPES
Mississippi MEDICAID 0121454
Mississippi MEDICAID 00121454

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