| Judith Stallings, NP | |
|
103 Denson Farm Cv, Canton, MS 39046-2200 | |
| (770) 856-4773 | |
| Not Available |
| Full Name | Judith Stallings |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 103 Denson Farm Cv, Canton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902235583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN146014 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 903283 (Mississippi) | Primary |
| Entity Name | Monogram Health Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326655986 PECOS PAC ID: 4880004183 Enrollment ID: O20210111001028 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Stallings, NP 103 Denson Farm Cv, Canton, MS 39046-2200 Ph: (770) 856-4773 | Judith Stallings, NP 103 Denson Farm Cv, Canton, MS 39046-2200 Ph: (770) 856-4773 |
Latoya Sojourney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Okshoon Scott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Ms. Kiara Diontea Merchant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 | |
Mrs. Rebecca Truelove Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046 Phone: 601-855-5287 | |
Angela Jones-stewart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 | |
Shamekka Nicolette Skinner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 | |
Stephanie Terry, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |