Porter, Stacey

Porter, Stacey is an individual health care provider with primary practice located at 613 Marquette Rd , Brandon MS 39042-3038. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Porter, Stacey can be contacted via phone (601) 824-1692.

Contact Information

Primary practice address
613 Marquette Rd Brandon MS 39042-3038
Phone: (601) 824-1692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 916128 Mississippi

Profile Details

NPI number 1205551066
LBN Legal business name Porter, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 6th, 2022 - about 3 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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