Individual
STEPHANIE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
5500 FRISCO SQUARE BLVD, FRISCO, TX 75034-3305
(469) 430-7836
Mailing address
5500 FRISCO SQUARE BLVD, FRISCO, TX 75034-3305
(469) 430-7836
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
722811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284693301
—
TX
05
—
284693302
—
TX
01
—
839N60
BLUECROSS
TX
Enumeration date
04/26/2007
Last updated
01/27/2022
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