Tammi, Stacy Shannon

Tammi, Stacy Shannon is an individual health care provider with primary practice located at 5 Moore Drive , Durham NC 27709-3398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Tammi, Stacy Shannon can be contacted via phone (919) 483-1540.

Contact Information

Primary practice address
5 Moore Drive Durham NC 27709-3398
Phone: (919) 483-1540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 125235 North Carolina

Profile Details

NPI number 1336314780
LBN Legal business name Tammi, Stacy Shannon
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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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