Childress, Stacey Lynn

Childress, Stacey Lynn is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. 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. Childress, Stacey Lynn can be contacted via phone (843) 724-2450.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Phone: (843) 724-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 23153 South Carolina

Profile Details

NPI number 1083018030
LBN Legal business name Childress, Stacey Lynn
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated May 31st, 2022 - about 4 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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