Individual
STACY PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(727) 893-6254
(727) 553-7158
Mailing address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(727) 893-6254
(727) 553-7158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9367971
FL
363LF0000X
Family Nurse Practitioner
ARNP9367971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104744600
—
FL
Enumeration date
01/03/2017
Last updated
05/06/2024
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