Terner, Stacy Lynn

Terner, Stacy Lynn is an sole proprietor health care provider with primary practice located at 9611 W Broward Blvd Ste 800 , Plantation FL 33324-2334. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Terner, Stacy Lynn can be contacted via phone (954) 924-7000.

Contact Information

Primary practice address
9611 W Broward Blvd Ste 800 Plantation FL 33324-2334
Phone: (954) 924-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3591 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3591 Florida

Profile Details

NPI number 1376720011
LBN Legal business name Terner, Stacy Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2008
Last updated Jul 6th, 2023 - 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 1376720011 NPPES
Florida MEDICAID 290999500

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