Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID E STIDHAM, FPMHNP
ActiveMR. DAVID E STIDHAM, FPMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ADEL, Georgia. NPI 1700378049 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ADEL, GA
Registration Details
- NPI Number
- 1700378049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2018 (8.2015807393777 yrs)
- Last Updated
- Sep 27, 2021
- Licenses
-
RN139536 (GA)RN139536 (GA)
Practice Information
- Address
-
1905 S HUTCHINSON AVEADEL, GA, 316205246Browse GA providers · Browse ZIP 31620
- Phone
- 2298964559
- Fax
- 2298968367
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.