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Individual
MS. STACEY LEVISON
Active
Individual
MS. STACEY LEVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
RN160089
GA
363LF0000X
Family Nurse Practitioner
Primary
RN160089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228231227A
—
GA
Enumeration date
12/28/2006
Last updated
10/27/2022
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