Individual provider · Type 1 NPI

Onellis Stanford, FNP

Family Nurse Practitioner · Gulfport, MS

NPI number 1922237452 Active

Practice location

1340 Broad Ave, Suite 310
Gulfport, MS 39501-2404

Call (228) 575-1400 Map

Fax (228) 575-1414

Mailing address

PO Box 1810
Gulfport, MS 39502-1810

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	R869199 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1922237452

Onellis Stanford, FNP's National Provider Identifier is 1922237452, issued on Jul 6, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 11, 2014.