Stephanie Machelle Douglass, PMHNP-BC
NPI #1386904803 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1386904803
- Entity Type
- Individual
- Name
- Stephanie Machelle Douglass, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- May 17, 2012
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 5600 GOODMAN RD
- Address 2
- STE B
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-7002
- Phone
- (662) 890-7010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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