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NPI Code Detail

MEDICARE: STEPHEN PATRICK SWEENEY

MEDICARE: STEPHEN PATRICK SWEENEY
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 Practitioner53-82755-041KS
22084N0400XNeurology Physician906514MS
32084P0800XPsychiatry PhysicianGAA-NP002326GA
42084P0800XPsychiatry Physician227582AR
5363LP0808XPsychiatric/Mental Health Nurse Practitioner36273TN

General Provider Information

NPI Number : 1942079413
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PATRICK SWEENEY
Provider Business Mailing Address
First Line : PO BOX 2053
Second Line :
City : RIDGELAND
State : MS
Zip : 39158-2053
Country : US
Telephone Number : 601-202-1213
Fax Number : 601-429-9334
Provider Business Practice Location Address
First Line : 241 SUNNYBROOK RD
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-2206
Country : US
Telephone Number : 601-202-1213
Fax Number : 601-429-9334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2023
Last Update Date : 02/10/2026

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Directions to “ STEPHEN PATRICK SWEENEY ” Practice Location

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