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STEPHANIE LYNN BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4164 HALLS MILL RD, MOBILE, AL 36693-5614
(251) 661-5404
Mailing address
751 ELIZA JORDAN RD N, MOBILE, AL 36608-9047
(630) 432-5998

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-182404
AL
363LF0000X
Family Nurse Practitioner
SP022053
PA

Other

Enumeration date
07/27/2020
Last updated
05/05/2023
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