Individual
STEPHANIE SUE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1500 W GRAND AVE, MARSHALL, TX 75670-3005
(903) 938-7721
(903) 234-1639
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 234-4226
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057169
TX
Other
Enumeration date
01/04/2022
Last updated
03/02/2022
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