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Individual
STACY LYNN TOMBERLIN
Active
Individual
STACY LYNN TOMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0075357
OK
363LF0000X
Family Nurse Practitioner
Primary
AP130049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200102380A
—
OK
Enumeration date
11/20/2006
Last updated
05/07/2025
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