Smith, Stacie Jean

Smith, Stacie Jean is an individual health care provider with primary practice located at 12100 Kain Rd , Glen Allen VA 23059-5717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Stacie Jean can be contacted via phone (302) 943-8570.

Contact Information

Primary practice address
12100 Kain Rd Glen Allen VA 23059-5717
Phone: (302) 943-8570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024176175 Virginia

Profile Details

NPI number 1821581158
LBN Legal business name Smith, Stacie Jean
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jul 6th, 2020 - about 6 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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