Shaw, Stacey Lynn

Shaw, Stacey Lynn is an individual health care provider with primary practice located at 2423 Highway 17 S , North Myrtle Beach SC 29582-4343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shaw, Stacey Lynn can be contacted via phone (843) 919-0700.

Contact Information

Primary practice address
2423 Highway 17 S North Myrtle Beach SC 29582-4343
Phone: (843) 919-0700
Fax: (843) 919-0727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20127 South Carolina

Profile Details

NPI number 1093226789
LBN Legal business name Shaw, Stacey Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2017
Last updated Sep 25th, 2023 - about 3 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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