Individual
STEPHANIE MARIE PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6379
(910) 577-2345
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6379
(910) 577-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010727
NC
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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