NPI 1073569018 · live from the CMS NPI Registry
Stephanie Fussell, M.D.
Internal Medicine, Medical Oncology in Gulfport, MS. National Provider Identifier 1073569018, active.
NPI record
| NPI | 1073569018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Medical Oncology 207RX0202X |
| Practice location | 1340 Broad Ave Ste 330, Gulfport, MS 39501 |
| Practice phone | 228-575-1234 |
| Mailing address | Po Box 1810, Gulfport, MS 39502 |
| Enumerated | May 25, 2006 |
| Last updated | May 27, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 16995 (MS) |
| Internal Medicine, Hematology & Oncology | 207RH0003X | 00025974 (AL) |
| Internal Medicine, Medical Oncology primary | 207RX0202X | 16995 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.