Levison, Stacey

Levison, Stacey is an individual health care provider with primary practice located at 2782 Cobb Pkwy Nw , Kennesaw GA 30152-3472. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Nephrology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Levison, Stacey can be contacted via phone (770) 590-8181.

Contact Information

Primary practice address
2782 Cobb Pkwy Nw Kennesaw GA 30152-3472
Phone: (770) 590-8181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN160089 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X RN160089 Georgia

Profile Details

NPI number 1033275946
LBN Legal business name Levison, Stacey
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 27th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033275946 NPPES
Georgia MEDICAID 228231227A

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