Knutson, Stacy N

Knutson, Stacy N is an individual health care provider with primary practice located at 301 Fisher St , Biloxi MS 39534-2508. 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. Knutson, Stacy N can be contacted via phone (228) 376-0429.

Contact Information

Primary practice address
301 Fisher St Biloxi MS 39534-2508
Phone: (228) 376-0429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00553 Mississippi

Profile Details

NPI number 1063731032
LBN Legal business name Knutson, Stacy N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Jun 18th, 2021 - about 5 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 1063731032 NPPES
Other 1098239 NCCPA

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