Individual
MRS. STEPHANIE LYNN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(888) 397-8387
Mailing address
550 FALCON LN, EUFAULA, OK 74432-9559
(580) 239-1849
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0065775
OK
Other
Enumeration date
07/10/2024
Last updated
07/16/2024
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