Stephanie W Bostic, NP | |
1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 | |
(601) 200-4760 | |
(601) 200-4742 |
Full Name | Stephanie W Bostic |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1050 River Oaks Dr Ste 100, Flowood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487433454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 906105 (Mississippi) | Primary |
Entity Name | St. Dominic Jackson Memorial |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
Entity Name | St. Dominic Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Mailing Address | Practice Location Address |
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Stephanie W Bostic, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-6872 | Stephanie W Bostic, NP 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 Ph: (601) 200-4760 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808 | |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 | |
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 |