Individual
STEPHANIE DIANN SYLVESTER-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 355-6860
Mailing address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 355-6860
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180791
VA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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