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Individual
MRS. JESSICA LEIGH STACY
Active
Individual
MRS. JESSICA LEIGH STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010042113
MO
363LF0000X
Family Nurse Practitioner
2019028114
MO
363LF0000X
Family Nurse Practitioner
Primary
95002256
CA
363LP2300X
Primary Care Nurse Practitioner
95002256
CA
Other
Enumeration date
01/19/2011
Last updated
04/13/2023
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