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Individual
MRS. STACEY LYNN SMALLWOOD
Active
Individual
MRS. STACEY LYNN SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004185
KY
363LF0000X
Family Nurse Practitioner
Primary
3004185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012556
—
KY
Enumeration date
08/19/2006
Last updated
09/17/2026
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