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STACEY KING NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1598146631

Individual Registrant:
 STACEY  KING NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
21141 STATE HIGHWAY 59 STE 1  ROBERTSDALE, AL 36567-6740 US
Tel: 251-424-1160  Fax: 251-424-1161

Contact information for business:
21141 STATE HIGHWAY 59 STE 1  ROBERTSDALE, AL 36567-6740 US
Tel: 251-424-1160  Fax: 251-424-1161

Registration Information:
NPI: 1598146631
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-103735

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
207558AL05




HEALTH CARE JOBS AL - Page 1



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