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Crystal Renee Stafford, FNP-C
Family Nurse Practitioner in Wiggins, Mississippi
NPI 1851816797

Crystal Renee Stafford is a Family Nurse Practitioner based in Lucedale, MS and is specialized in Family. Crystal Renee Stafford practices in Wiggins, MS and has the professional credentials of FNP-C. The NPI Number for Crystal Renee Stafford is 1851816797 and holds a License No. F06171077 (Mississippi).

The current practice location address for Crystal Renee Stafford is 975 Hall St, Wiggins, MS and can be reached out via phone at 601-528-9119.

Location: 975 Hall St, Wiggins, MS, 39452-1007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851816797
Provider Name
Crystal Renee Stafford
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
975 Hall St, Wiggins, MS, 39452-1007
Phone Number
601-528-9119
Fax Number
Provider Enumeration Date
08/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
902087 01 MS MS MEDICAL LICENSURE
institution
Provider Business Practice Location Address Details
Address
975 Hall St
City
Wiggins
State
Mississippi
Zip
39577-2107
Phone Number
601-528-9119
Fax Number
person
Provider Business Mailing Address Details
Address
975 Hall St
City
Wiggins
State
Mississippi
Zip
39577-2107
Phone Number
601-528-9119
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F06171077 (Mississippi)
Definition
Definition to come...
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