Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE MACHELLE DOUGLASS, PMHNP-BC
Active Sole ProprietorSTEPHANIE MACHELLE DOUGLASS, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1386904803 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1386904803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2012 (14.202731821891 yrs)
- Last Updated
- Jun 23, 2025
- License
-
R863198 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5600 GOODMAN RDSTE BOLIVE BRANCH, MS, 386547002Browse MS providers · Browse ZIP 38654
- Phone
- 6628907010
- Fax
- 6628907044
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in OLIVE BRANCH, MS
| Name | Credential | NPI |
|---|---|---|
| TIFFANY M MATTOX-RUBIN | RN | 1700373115 |
| TOMIKA WASHINGTON | PMHNP-APRN | 1104309178 |
| GINNIFER POOLE HUTCHESON | DNP, PMHNP-BC | 1740837194 |
| MRS. ARGARET SHONTA PAYNE | FNP-C, PMHNP-BC | 1154966067 |
| HALEY ELIZABETH VARGO | PMHNP | 1346964418 |
| MARECIA MREANA SPEARMAN | — | 1114611209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.