Crystal Renee Stafford, FNP-C | |
975 Hall St, Wiggins, MS 39577-2107 | |
(601) 528-9119 | |
Not Available |
Full Name | Crystal Renee Stafford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 975 Hall St, Wiggins, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851816797 | NPI | - | NPPES |
902087 | Other | MS | MS MEDICAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F06171077 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 902087 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
George Regional Health System | Lucedale, MS | Hospital |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wiggins Primary Care | 5890737019 | 6 |
Entity Name | Wiggins Primary Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740293257 PECOS PAC ID: 5890737019 Enrollment ID: O20050527000428 |
Mailing Address | Practice Location Address |
---|---|
Crystal Renee Stafford, FNP-C Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 528-9119 | Crystal Renee Stafford, FNP-C 975 Hall St, Wiggins, MS 39577-2107 Ph: (601) 528-9119 |
James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 | |
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653 | |
Charles Ray Strange Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577 Phone: 601-716-8012 Fax: 601-716-8013 | |
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 228-436-1191 | |
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731 | |
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189 | |
Mrs. Glynnis D Randall, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193 |