Stephanie Wilson (NPI# 1437579091, PAC ID# 2163646175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437579091 |
| PAC ID by PECOS | 2163646175 |
| Professional Enrollment ID | I20140613000923 |
| Full Name | Stephanie Wilson |
| Organization Legal Name | A R MIZELL LLC |
| Address |
1212 E Pass Rd Gulfport MS 39507-3403 |
| Phone Number | 2288967108 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961652953 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250007 | MERIT HEALTH BILOXI |
| 250123 | GARDEN PARK MEDICAL CENTER |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 149 Drinkwater Rd, Bay Saint Louis, MS 39520-1658 | 2284678600 | HANCOCK EMERGENCY GROUP LLC |
| 1212 E Pass Rd, Gulfport, MS 39507-3403 | 2288967108 | A R MIZELL LLC |
| Organization Legal Name | A R MIZELL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda R Mizell | Nurse Practitioner | A R Mizell LLC | 1212 E Pass Rd, Gulfport, MS 39507-3403 |
| Street Address |
1212 E PASS RD |
| City | GULFPORT |
| State | MS |
| Zip | 39507-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda R Mizell | Nurse Practitioner | A R Mizell LLC | 1212 E Pass Rd, Gulfport, MS 39507-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Frederick Kutner | Psychiatry | Acadian Care LLC | 625 16th St, Unit C, Gulfport, MS 39507-1302 |
| Daniel Q Richardson | Plastic and Reconstructive Surgery | 390 Courthouse Rd, Gulfport, MS 39507-1807 | |
| Theresa Robinson | Physical Therapy | Encore Rehabilitation Inc | 334 Courthouse Rd, Gulfport, MS 39507-1807 |
| Rebecca Davis | Occupational Therapy | Encore Rehabilitation Inc | 334 Courthouse Rd, Gulfport, MS 39507-1807 |
| Joannie E Evans | Nurse Practitioner | Mindful Matters | 368 Courthouse Rd, Suite D, Gulfport, MS 39507-1854 |
| Kimberly Rayborn | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Anne C Musgrove | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Jessica Coolidge | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Dimitrios J Dimitriades | Family Medicine | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Nkechi O Onyegasi | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Find all physicians in zip 39507 | |||
| City | GULFPORT |
| Zip Code | 39507 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GULFPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.