Individual
STACY LEE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2360 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 712-2546
Mailing address
1961 COUNTY ROAD 607, POPLAR BLUFF, MO 63901-5544
(573) 300-9971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021026192
MO
Other
Enumeration date
08/02/2021
Last updated
11/11/2021
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