Provider Demographics
NPI:1417501750
Name:HELESKI, STEPHANIE STILLE (NP-C)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:STILLE
Last Name:HELESKI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6381 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:GA
Mailing Address - Zip Code:31824-4029
Mailing Address - Country:US
Mailing Address - Phone:229-828-2118
Mailing Address - Fax:229-828-2114
Practice Address - Street 1:6381 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:GA
Practice Address - Zip Code:31824-4029
Practice Address - Country:US
Practice Address - Phone:229-828-2118
Practice Address - Fax:229-828-2114
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN206403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty