person
Stephanie Machelle Douglass, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Olive Branch, Mississippi
NPI 1386904803

Stephanie Machelle Douglass is a Psychiatric/Mental Health Nurse Practitioner based in Olive Branch, MS and is specialized in Psychiatric/Mental Health. Stephanie Machelle Douglass practices in Olive Branch, MS and has the professional credentials of PMHNP-BC. The NPI Number for Stephanie Machelle Douglass is 1386904803 and holds a License No. R863198 (Mississippi).

The current practice location address for Stephanie Machelle Douglass is 5600 Goodman Rd, Olive Branch, MS and can be reached out via phone at 662-890-7010 and via fax at 662-890-7044.

Location: 5600 Goodman Rd, Olive Branch, MS, 38654-7002
person
Provider Profile Details
NPI Number
1386904803
Provider Name
Stephanie Machelle Douglass
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5600 Goodman Rd, Olive Branch, MS, 38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
Provider Enumeration Date
05/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08121826 05 MS
institution
Provider Business Practice Location Address Details
Address
5600 Goodman Rd
City
State
Zip
38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
person
Provider Business Mailing Address Details
Address
5600 Goodman Rd
City
State
Zip
38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R863198 (Mississippi)
Definition
Definition to come...
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