Individual
STEPHANIE MARIE QUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2580 HENDERSON DR, JACKSONVILLE, NC 28546-5252
(980) 241-4399
Mailing address
423 SILVERSIDE LN, SWANSBORO, NC 28584-0139
(910) 918-5069
(910) 782-0410
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2364275
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2364275
MA
Other
Enumeration date
06/01/2021
Last updated
05/14/2025
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