| Stacey Snyder Pannell, FNP | |
|
1668 West Peace Street, Canton, MS 39046 | |
| (601) 859-5213 | |
| (601) 859-8771 |
| Full Name | Stacey Snyder Pannell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1668 West Peace Street, 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 |
|---|---|---|---|
| 1831267756 | NPI | - | NPPES |
| 03309595 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R814593 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3001825 (Alabama) | Primary |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | Baptist Medical Center - Yazoo, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619918075 PECOS PAC ID: 5799850376 Enrollment ID: O20080815000433 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Snyder Pannell, FNP 422 Berkshire Dr, Ridgeland, MS 39157-3622 Ph: () - | Stacey Snyder Pannell, FNP 1668 West Peace Street, Canton, MS 39046 Ph: (601) 859-5213 |
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: Accepting Medicare Assignments Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Ms. Kiara Diontea Merchant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments 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: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 | |
Shamekka Nicolette Skinner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 | |
Stephanie Terry, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |