Healthcare Provider Details

I. General information

NPI: 1760150858
Provider Name (Legal Business Name): STEPHANIE JANE DRUMMONDS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 10TH AVE STE 300
COLUMBUS GA
31901-3606
US

IV. Provider business mailing address

1900 10TH AVE STE 300
COLUMBUS GA
31901-3606
US

V. Phone/Fax

Practice location:
  • Phone: 706-341-3311
  • Fax: 706-257-1719
Mailing address:
  • Phone: 706-341-3311
  • Fax: 706-257-1719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberGAA-NP000367
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: