# STACEY L HARR

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

## Provider details

- **NPI number:** 1255621074
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00546500 | NJ | Yes |
| 363A00000X | Physician Assistant | MA003088L | PA | — |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 09/18/2024