person
Stephanie Nicole O'halloran-wilkerson, PPHMP
Psychiatric/Mental Health Nurse Practitioner in Urbana, Missouri
NPI 1811630494

Stephanie Nicole O'halloran-wilkerson is a Psychiatric/Mental Health Nurse Practitioner based in Hermitage, MO and is specialized in Psychiatric/Mental Health. Stephanie Nicole O'halloran-wilkerson practices in Urbana, MO and has the professional credentials of PPHMP. The NPI Number for Stephanie Nicole O'halloran-wilkerson is 1811630494 and holds a License No. 2022008045 (Missouri).

The current practice location address for Stephanie Nicole O'halloran-wilkerson is 406 S Dallas St, Urbana, MO and can be reached out via phone at 417-993-1002.

Location: 406 S Dallas St, Urbana, MO, 65668-0125
person
Provider Profile Details
NPI Number
1811630494
Provider Name
Stephanie Nicole O'halloran-wilkerson
Credential
PPHMP
Provider Entity Type
Individual
Gender
Female
Address
406 S Dallas St, Urbana, MO, 65668-0125
Phone Number
417-993-1002
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2022008045 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
406 S Dallas St
City
State
Zip
65767
Phone Number
417-993-1002
Fax Number
person
Provider Business Mailing Address Details
Address
406 S Dallas St
City
State
Zip
65767
Phone Number
417-993-1002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2022008045 (Missouri)
Definition
Definition to come...
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