Individual provider · Type 1 NPI
Stephanie Machelle Douglass, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Olive Branch, MS
NPI number
1386904803
Active
Practice location
5600 Goodman Rd, Ste B
Olive Branch, MS 38654-7002
Fax (662) 890-7044
Mailing address
5600 Goodman Rd Ste B
Olive Branch, MS 38654-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R863198 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Olive Branch
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- Argaret Shonta Payne, FNP-C, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Olive Branch, MS NPI 1154966067
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- Heather Hildebrant, PMHNPPsychiatric/Mental Health Nurse Practitioner Olive Branch, MS NPI 1477373512
- Shanta Benson, PMHNPPsychiatric/Mental Health Nurse Practitioner Olive Branch, MS NPI 1477413821
About NPI 1386904803
Stephanie Machelle Douglass, PMHNP-BC's National Provider Identifier is 1386904803, issued on May 17, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Olive Branch, MS. The record was last updated on Jun 23, 2025.