DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CRYSTAL RENEE STAFFORD FNP-C

MEDICARE: CRYSTAL RENEE STAFFORD FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF06171077MS
2363LF0000XFamily Nurse Practitioner902087MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1902087OTHERMSMS MEDICAL LICENSURE

General Provider Information

NPI Number : 1851816797
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL RENEE STAFFORD FNP-C
Provider Business Mailing Address
First Line : PO BOX 1007
Second Line :
City : LUCEDALE
State : MS
Zip : 39452-1007
Country : US
Telephone Number : 601-528-9119
Fax Number : 601-947-1331
Provider Business Practice Location Address
First Line : 975 HALL ST
Second Line :
City : WIGGINS
State : MS
Zip : 39577-2107
Country : US
Telephone Number : 601-528-9119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2017
Last Update Date : 03/17/2018

Similar Medicare Providers

1518906734 — DONALD ROBERT DORAN JR. D.O.
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax: 601-528-9193
1639182124 — DR. DEEPINDER S. BURN M.D.
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax: 601-528-9193
1740293257 — WIGGINS PRIMARY CARE
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax: 601-528-9193
1346355583 — MRS. GLYNNIS D RANDALL F.N.P.
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax: 601-528-9193
1922381466 — MICHELLE LORRAINE MCQUEEN FNP
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax: 601-528-9193
1275397507 — MELANIE LINTON HUGHES FNP
Practice Location Address:
975 HALL ST
WIGGINS, MS
39577-2107
Practice Phone: 601-528-9119
Practice Fax:

Directions to “ CRYSTAL RENEE STAFFORD FNP-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.