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Individual
STACIE NELSON
Active
Individual
STACIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1177888
TX
363LA2200X
Adult Health Nurse Practitioner
1177888
TX
363LA2200X
Adult Health Nurse Practitioner
17242
TN
363LA2200X
Adult Health Nurse Practitioner
RN129463NP
GA
Other
Enumeration date
10/05/2006
Last updated
10/02/2026
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