Individual provider · Type 1 NPI

Stacy Shante Redmond, NP-C

Primary Care Nurse Practitioner · Columbus, MS

NPI number 1417676271 Active

Practice location

3103 Sierra Ct
Columbus, MS 39705-1807

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X903311 (MS)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1417676271

Stacy Shante Redmond, NP-C's National Provider Identifier is 1417676271, issued on Aug 24, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbus, MS. The record was last updated on Aug 24, 2022.