# STACY TERAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154067650
- **Gender:** F
- **Credential:** FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ01309100 | NJ | Yes |

## Other

- **Enumeration date:** 05/08/2022
- **Last updated:** 05/18/2022