Individual
STEPHANIE SEVERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
111 HAMLET RD, SUMMERVILLE, SC 29485-5271
(312) 420-2308
Mailing address
111 HAMLET RD, SUMMERVILLE, SC 29485-5271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9522120
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28626
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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