Individual
STEPHANIE NICOLE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 SPOTSYLVANIA PKWY STE 340, FREDERICKSBURG, VA 22408-7767
(540) 200-8272
Mailing address
3874 MARQUIS PL, WOODBRIDGE, VA 22192-6212
(919) 885-7728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024193163
VA
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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