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STACEY ELAINE BERRY FNP NPI 1487672796


NPI Information

NPI: 1487672796
Provider Name: STACEY ELAINE BERRY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1061 HARMON AVE
STE. 1D03
FT STEWART, GA
ZIP 31314
Phone: (912) 435-6633
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Stacey Elaine Berry, FNP is a family nurse practitioner in Ft Stewart, GA. Stacey Elaine Berry, FNP NPI is 1487672796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1061 HARMON AVE
STE. 1D03
FT STEWART, GA
ZIP 31314
Phone: (912) 435-6633

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN134597GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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