Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stephanie D. Smith, CFNP

Individual provider Family Nurse Practitioner · NPI 1003055005

Mrs. Stephanie D. Smith, CFNP is a Nurse Practitioner in Ellisville, Mississippi. Qualified in 2007, 19 years ago. Practices with Calhoun Medical Clinic LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2009

Practice location Address checks out

1101 Hwy 11 S
Ellisville, MS 39437-4443
Phone: (601) 477-5770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R865285 (MS)

Record details

NPI number1003055005
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorYes
NPI enumeratedFebruary 13, 2009
Last updated in NPPESFebruary 13, 2009
Mailing address57 Watertank Rd, Laurel, MS 39443-2954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Calhoun Medical Clinic Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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