Merritt, Stacy Lane

Merritt, Stacy Lane is an individual health care provider with primary practice located at 3440 Declaration Blvd , Sumter SC 29154-8139. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Merritt, Stacy Lane can be contacted via phone (803) 905-3278.

Contact Information

Primary practice address
3440 Declaration Blvd Sumter SC 29154-8139
Phone: (803) 905-3278
Fax: (803) 905-3282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4456 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4456 South Carolina

Profile Details

NPI number 1790081941
LBN Legal business name Merritt, Stacy Lane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2011
Last updated Mar 22nd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790081941 NPPES
South Carolina Other 1124180732 FASTER CARE NPI

Popular Providers