STEPHANIE MACHELLE DOUGLASS

OLIVE BRANCH, MS
NPI1386904803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  R863198)
Enumeration Date2012-05-17
Last Update Date2020-09-28
Business Address
STEPHANIE MACHELLE DOUGLASS PMHNP-BC
5600 GOODMAN RD STE B
OLIVE BRANCH, MS 38654-7002
Phone number: 662-890-7010
Mailing Address
STEPHANIE MACHELLE DOUGLASS PMHNP-BC
5600 GOODMAN RD STE B
OLIVE BRANCH, MS 38654-7002
Phone number: 662-890-7010
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