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Individual

MRS. STEPHANIE BENNETT MCDANIEL

Active
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Individual

MRS. STEPHANIE BENNETT MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207209
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP207209
GA
364SG0600X
Gerontology Clinical Nurse Specialist
RN207209
GA

Other

Enumeration date
01/26/2015
Last updated
10/13/2025
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