Vernita Arnett Stephens

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R894212 Issued in MS

Practice address

7363 Goodman Rd
Olive Branch, MS 38654-1906

Phone

(662) 890-7555

NPI assigned

Dec 26, 2020

Last updated

Dec 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mississippi CVS Pharmacy LLC

  dba CVS Pharmacy #17144

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1396332201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541906",
            "telephone_number": "662-890-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541906",
            "telephone_number": "662-890-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "VERNITA",
        "middle_name": "ARNETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MS",
            "license": "R894212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvs.com",
            "affiliation": "N",
            "address_1": "7363 Goodman Rd",
            "city": "Olive Branch",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386541906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spring Valley Hospice, LLC
• Springwood Health & Supportive Living Services
• Starlight Medical Supply, LLC
• Patricia Lee Steele, PHARMACIST
• Stephanie Harding, DDS of Mississippi II, PLLC
• Terrence Stephenson
• Austin Webber Steward, PT
• Bradley M Stewart, DMD
• Terry Stubblefield, DMD
• Owen Stubbs

• Medical-Surgical Registered Nurse in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Medical-Surgical Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.