Henrickson, Stacy

Henrickson, Stacy is an individual health care provider with primary practice located at 1090 Ne Gateway Ct Ne Ste 204, Concord NC 28025-2414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henrickson, Stacy can be contacted via phone (704) 403-7020.

Contact Information

Primary practice address
1090 Ne Gateway Ct Ne Ste 204 Concord NC 28025-2414
Phone: (704) 403-7020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5003123 North Carolina

Profile Details

NPI number 1417157611
LBN Legal business name Henrickson, Stacy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 20th, 2021 - about 3 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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