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Individual
STEPHANIE WHITE
Active
Individual
STEPHANIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701289521B
—
GA
01
—
RN149753
MEDICAL LICENSE
GA
Enumeration date
02/08/2010
Last updated
08/18/2022
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