Berry, Stacey Elaine
Berry, Stacey Elaine is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave Ste. 1D03, Ft Stewart GA 31314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berry, Stacey Elaine can be contacted via phone (912) 435-6633.Contact Information
Primary practice address
1061 Harmon Ave Ste. 1D03
Ft Stewart GA 31314
Phone: (912) 435-6633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN134597 | Georgia |
Profile Details
| NPI number | 1487672796 |
|---|---|
| LBN Legal business name | Berry, Stacey Elaine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 5th, 2012 - about 12 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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