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NPI Code Detail

MEDICARE: BENTRICE STEPHENSON HEARD

MEDICARE: BENTRICE STEPHENSON HEARD
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner894260MS

General Provider Information

NPI Number : 1891590816
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENTRICE STEPHENSON HEARD
Provider Business Mailing Address
First Line : 2520 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2008
Country : US
Telephone Number : 662-244-2560
Fax Number :
Provider Business Practice Location Address
First Line : 2520 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2008
Country : US
Telephone Number : 662-889-5008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2025
Last Update Date : 02/13/2026

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Directions to “ BENTRICE STEPHENSON HEARD ” Practice Location

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