| Doctor Name: | MS. STEPHANIE J DURDEN |
| NPI Number: | 1154370740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 9248598 |
| Business Practice Address: | 307 Boatner Rd Ste 114 Eglin Afb, FL - 325421302 |
| Business Phone Number: | 8508838600 |
| Business Fax Number: | 8508838597 |
| Mailing Address: | 50 Ruths Ct, DEFUNIAK SPRINGS |
| State: | FL |
| Postal Code: | 324333573 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 9248598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |