Provider Demographics
NPI:1760150858
Name:DRUMMONDS, STEPHANIE JANE (WHNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:JANE
Last Name:DRUMMONDS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 10TH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3606
Mailing Address - Country:US
Mailing Address - Phone:706-341-3311
Mailing Address - Fax:706-257-1719
Practice Address - Street 1:1900 10TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3606
Practice Address - Country:US
Practice Address - Phone:706-341-3311
Practice Address - Fax:706-257-1719
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP000367363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health