Stephanie Phelan

Debarred entity

Born 9 Nov 1968 (57 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
20 Feb 2025
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Criminal Conduct
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1962538082

Addresses1

544 Keyway Drive

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