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

Stephanie Farrior, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1093358905

Stephanie Farrior, AGNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with Trustcare Health, LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 903446 (MS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 903446 (MS)

Record details

NPI number1093358905
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address1325 E Fortification St, Jackson, MS 39202-2442

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Trustcare Health, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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