Provider Demographics
NPI:1598786469
Name:PLUMMER, STEPHANIE ANN (MSN, APRN-BC, PMH-NP)
Entity Type:Individual
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First Name:STEPHANIE
Middle Name:ANN
Last Name:PLUMMER
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Gender:F
Credentials:MSN, APRN-BC, PMH-NP
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Mailing Address - Street 1:1011 HONOR HEIGHTS DR
Mailing Address - Street 2:MUSKOGEE VAMC-BEHAVIORAL MEDICINE
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-1318
Mailing Address - Country:US
Mailing Address - Phone:918-835-5033
Mailing Address - Fax:918-835-5760
Practice Address - Street 1:10159 E 11TH ST STE 100
Practice Address - Street 2:TULSA VA - BEHAVIORAL MEDICINE
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-3046
Practice Address - Country:US
Practice Address - Phone:918-835-5033
Practice Address - Fax:918-835-5760
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CANP 11882 / RN 487503363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health