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Individual
STACIE L ROLLAND
Active
Individual
STACIE L ROLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07202315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231461
RN LICENSE
GA
Enumeration date
11/16/2020
Last updated
11/16/2020
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