Jacinta Stegall, | |
848 S Madison St, Tupelo, MS 38801-4905 | |
(662) 844-4177 | |
Not Available |
Full Name | Jacinta Stegall |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 848 S Madison St, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699127027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 901497 (Mississippi) | Primary |
Entity Name | Mantachie Rural Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033169545 PECOS PAC ID: 2567372121 Enrollment ID: O20040921000610 |
Entity Name | Memorial Hospital At Gulfport |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Entity Name | Southern Medical Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043 |
Mailing Address | Practice Location Address |
---|---|
Jacinta Stegall, 4215 15th St, Gulfport, MS 39501-2523 Ph: (228) 863-5211 | Jacinta Stegall, 848 S Madison St, Tupelo, MS 38801-4905 Ph: (662) 844-4177 |
Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930 | |
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301 | |
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403 | |
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350 | |
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030 | |
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585 | |
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000 |