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Individual
MRS. STACEY HARTLEY
Active
Individual
MRS. STACEY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183333
TN
363LF0000X
Family Nurse Practitioner
Primary
19019
TN
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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