Individual
MRS. STEPHANIE KRISTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
3201 UNIVERSITY DR E STE 240, BRYAN, TX 77802-3475
(758) 788-8360
Mailing address
1605 BLUE QUAIL LN, COLLEGE STATION, TX 77845-6113
(619) 757-8937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
80107
NM
Other
Enumeration date
07/24/2024
Last updated
07/25/2024
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