Healthcare Provider Details

I. General information

NPI: 1023929890
Provider Name (Legal Business Name): INTEGRATED HEALTH PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 S UNION ST
CANTON MS
39046-4440
US

IV. Provider business mailing address

PO BOX 165
CANTON MS
39046-0165
US

V. Phone/Fax

Practice location:
  • Phone: 601-761-4536
  • Fax:
Mailing address:
  • Phone: 601-761-4536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JONES STEWART
Title or Position: OWNER
Credential: DNP, APRN,FNPC
Phone: 601-906-0130