Individual
STEFFANIE MICHELLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(912) 695-4834
Mailing address
1680 HENDERSONVILLE RD APT H08, ASHEVILLE, NC 28803-3227
(912) 695-4834
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019274
NC
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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