Keith, Stephanie

Keith, Stephanie is an individual health care provider with primary practice located at 1659 Lelia Dr , Jackson MS 39216-4818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keith, Stephanie can be contacted via phone (601) 910-3004.

Contact Information

Primary practice address
1659 Lelia Dr Jackson MS 39216-4818
Phone: (601) 910-3004
Fax: (601) 910-3005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00311 Mississippi

Profile Details

NPI number 1023555190
LBN Legal business name Keith, Stephanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Jun 1st, 2026 - about 4 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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