Gibson, Stacey Nicole
Gibson, Stacey Nicole is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 147 , Hagerstown MD 21742-6755. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibson, Stacey Nicole can be contacted via phone (301) 714-4350.Contact Information
Primary practice address
11110 Medical Campus Rd Ste 147
Hagerstown MD 21742-6755
Phone: (301) 714-4350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R170910 | Maryland |
Profile Details
| NPI number | 1154876423 |
|---|---|
| LBN Legal business name | Gibson, Stacey Nicole |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2016 |
| Last updated | Aug 19th, 2021 - 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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