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Individual

STEPHANIE NICOLE MCGOVERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-3028
Mailing address
112 ADLAI AVE, GEORGETOWN, TX 78633-2686

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP139859
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139859
TX

Other

Enumeration date
11/28/2018
Last updated
04/21/2026
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