Smith, Stacey

Smith, Stacey is an sole proprietor health care provider with primary practice located at 3042 Fitzgerald St , Jacksonville FL 32254-3947. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Smith, Stacey can be contacted via phone (904) 405-8172.

Contact Information

Primary practice address
3042 Fitzgerald St Jacksonville FL 32254-3947
Phone: (904) 405-8172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1992150411
LBN Legal business name Smith, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2016
Last updated May 3rd, 2016 - about 10 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.

Request for update

Popular Providers