person
Onellis Stanford, FNP
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1922237452

Onellis Stanford is a Family Nurse Practitioner based in Gulfport, MS and is specialized in Family. Onellis Stanford practices in Gulfport, MS and has the professional credentials of FNP. The NPI Number for Onellis Stanford is 1922237452 and holds a License No. R869199 (Mississippi).

The current practice location address for Onellis Stanford is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-575-1400 and via fax at 228-575-1414.

Location: 1340 Broad Ave, Gulfport, MS, 39502-1810
person
Provider Profile Details
NPI Number
1922237452
Provider Name
Onellis Stanford
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1340 Broad Ave, Gulfport, MS, 39502-1810
Phone Number
228-575-1400
Fax Number
228-575-1414
Provider Enumeration Date
07/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03335347 05 MS
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-575-1400
Fax Number
228-575-1414
person
Provider Business Mailing Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-575-1400
Fax Number
228-575-1414
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R869199 (Mississippi)
Definition
Definition to come...
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