Individual
STEPHANIE R DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
615 JOHNNIE DODDS BLVD STE 102, MOUNT PLEASANT, SC 29464-3082
(843) 936-6451
Mailing address
1445 WANDO LANDING ST, DANIEL ISLAND, SC 29492-8533
(843) 367-8761
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
22982
SC
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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