Lilly, Stephanie Diane

Lilly, Stephanie Diane is an individual health care provider with primary practice located at 1702 Conservation Trl Unit 104 , Fort Walton Beach FL 32547-5087. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lilly, Stephanie Diane can be contacted via phone (304) 731-5195.

Contact Information

Primary practice address
1702 Conservation Trl Unit 104 Fort Walton Beach FL 32547-5087
Phone: (304) 731-5195
Fax: (202) 951-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN79287-FNP-BC West Virginia

Profile Details

NPI number 1194200147
LBN Legal business name Lilly, Stephanie Diane
Credentials PMHNP-BC, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2018
Last updated Mar 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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