Individual provider · Type 1 NPI

Katelyn Stalnaker Richardson, AGNP-C

Nurse Practitioner · Tupelo, MS

NPI number 1003414509 Active

Practice location

499 Gloster Creek Vlg Ste G1
Tupelo, MS 38801-4751

Mailing address

80 Little Cir
Belden, MS 38826-9118

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X897205 (MS)
Nurse Practitioner Primary 363L00000X905648 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003414509

Katelyn Stalnaker Richardson, AGNP-C's National Provider Identifier is 1003414509, issued on Oct 15, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tupelo, MS. The record was last updated on Nov 2, 2022.