Gallion, Stacia
Gallion, Stacia is an individual health care provider with primary practice located at 4808E Johnson Ave , Jonesboro AR 72401-8413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gallion, Stacia can be contacted via phone (870) 936-7000.Contact Information
Primary practice address
4808E Johnson Ave
Jonesboro AR 72401-8413
Phone: (870) 936-7000
Fax: (870) 934-3677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01861 | Arkansas |
Profile Details
| NPI number | 1063479814 |
|---|---|
| LBN Legal business name | Gallion, Stacia |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 27th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063479814 | NPPES |
| Arkansas | MEDICAID | 159864758 |
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