George, Stacey L
George, Stacey L is an individual health care provider with primary practice located at 5197 Providence Cir , Jonesboro AR 72404-7838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. George, Stacey L can be contacted via phone (870) 802-0686.Contact Information
Primary practice address
5197 Providence Cir
Jonesboro AR 72404-7838
Phone: (870) 802-0686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A03045 | Arkansas |
Profile Details
| NPI number | 1336335603 |
|---|---|
| LBN Legal business name | George, Stacey L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Dec 19th, 2018 - about 7 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 | 1336335603 | NPPES |
| Arkansas | MEDICAID | 165274758 |
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