NPI | 1942642152 |
---|---|
Former Name | STEPHANIE LYNN DUGGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17808) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 171012) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2022-08-23 |