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Individual
STACIE L MCCRAY
Active
Individual
STACIE L MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149505
TN
363LF0000X
Family Nurse Practitioner
0024171883
VA
363LF0000X
Family Nurse Practitioner
Primary
18892
TN
Other
Enumeration date
06/27/2014
Last updated
04/10/2026
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