Individual
MRS. OSHETISI JAMILLAH STANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PMHNP-BC
Contact information
Practice address
13 STEEPLE ST STE 202-37, MASHPEE, MA 02649-3287
(508) 375-7936
Mailing address
13 STEEPLE ST STE 202-37, MASHPEE, MA 02649-3287
(508) 375-7936
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN71708
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326428
MA
Other
Enumeration date
03/04/2022
Last updated
08/21/2024
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