Slaght, Stacy Jane

Slaght, Stacy Jane is an individual health care provider with primary practice located at 1255 State Road 60 E Ste 600 , Lake Wales FL 33853-4302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Slaght, Stacy Jane can be contacted via phone (863) 676-7190.

Contact Information

Primary practice address
1255 State Road 60 E Ste 600 Lake Wales FL 33853-4302
Phone: (863) 676-7190
Fax: (863) 232-1704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X RN267082 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9494337 Florida

Profile Details

NPI number 1740706449
LBN Legal business name Slaght, Stacy Jane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Jun 4th, 2026 - about 5 months 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 1740706449 NPPES
Florida MEDICAID 129337500

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