Stansbury, Jack A.

Stansbury, Jack A. is an individual health care provider with primary practice located at 1 Pinckney Blvd , Beaufort SC 29902-6122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Stansbury, Jack A. can be contacted via phone (843) 228-5600.

Contact Information

Primary practice address
1 Pinckney Blvd Beaufort SC 29902-6122
Phone: (843) 228-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19033 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05772 Louisiana

Profile Details

NPI number 1508014853
LBN Legal business name Stansbury, Jack A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Jun 18th, 2024 - 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 1508014853 NPPES
South Carolina MEDICAID NP4330

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