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Individual
STACEY NALLEY
Active
Individual
STACEY NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28174694A
IN
363LF0000X
Family Nurse Practitioner
Primary
3008659
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100534800
—
KY
Enumeration date
06/03/2014
Last updated
02/02/2022
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