MRS. STEPHANIE CRESHELL RUFFIN NP NPI 1124791512

NPI Information

NPI: 1124791512
Provider Name: MRS. STEPHANIE CRESHELL RUFFIN, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2401 STATE BLVD
MERIDIAN, MS
ZIP 39307
Phone: (601) 282-8226
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MRS. Stephanie Creshell Ruffin, NP is a psychiatric/mental health nurse practitioner in Meridian, MS with 3 years of experience. MRS. Stephanie Creshell Ruffin, NP NPI is 1124791512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 STATE BLVD
MERIDIAN, MS
ZIP 39307-033
Phone: (601) 282-8226
Fax: (601) 512-0443

The NPI 1124791512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 7/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	904782	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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