Individual
STEPHANIE KATHRYNANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2025 MEMORY LN STE 400A, HARKER HEIGHTS, TX 76548-7488
(254) 829-4519
Mailing address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139807
TX
Other
Enumeration date
01/15/2019
Last updated
07/18/2023
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