Provider Demographics
NPI:1235603002
Name:SKY, STEPHANIE CHRISTINE (DNP-PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:CHRISTINE
Last Name:SKY
Suffix:
Gender:F
Credentials:DNP-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-0927
Mailing Address - Country:US
Mailing Address - Phone:813-449-3678
Mailing Address - Fax:
Practice Address - Street 1:958 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2174
Practice Address - Country:US
Practice Address - Phone:770-836-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN280908363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health