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Individual

STEPHANIE MELANN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
112 JOHN ST STE 101, EASLEY, SC 29640-1405
(864) 442-7585
(864) 859-9648
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23400
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP6804
SC
Enumeration date
11/05/2019
Last updated
05/20/2021
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