NPI 1063903003 · live from the CMS NPI Registry
Stephanie Beth Engelhard, MD
Ophthalmology in Jackson, TN. National Provider Identifier 1063903003, active.
NPI record
| NPI | 1063903003 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 328 Coatsland Dr, Jackson, TN 38301 |
| Practice phone | 731-427-7799 |
| Enumerated | May 25, 2018 |
| Last updated | October 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | R76834 (AZ) |
| Ophthalmology | 207W00000X | A177825 (CA) |
| Ophthalmology primary | 207W00000X | MD70108 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.