Individual provider · Type 1 NPI
Stephanie Lane Porter, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · Madison Heights, VA
NPI number
1023622149
Active
Practice location
3721 S Amherst Hwy
Madison Heights, VA 24572-5985
Fax (434) 300-5562
Mailing address
PO Box 1187
Madison Heights, VA 24572-1187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024179655 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024179655 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023622149
Stephanie Lane Porter, FNP-BC's National Provider Identifier is 1023622149, issued on Sep 4, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Madison Heights, VA. The record was last updated on Jan 7, 2025.