Moon, Stacey

Moon, Stacey is an individual health care provider with primary practice located at 3500 Springhill Dr Ste 200A , North Little Rock AR 72117-2948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Moon, Stacey can be contacted via phone (501) 413-9290.

Contact Information

Primary practice address
3500 Springhill Dr Ste 200A North Little Rock AR 72117-2948
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 124009 Arkansas

Profile Details

NPI number 1184225096
LBN Legal business name Moon, Stacey
Credentials APRN, MNSC, AGACNPBC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2020
Last updated Nov 6th, 2020 - about 5 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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