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STACIE LEE HAMMOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN9285590
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9285590
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9285590
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20990000
FL
01
IZ363Z
MEDICARE
FL
Enumeration date
05/15/2017
Last updated
04/02/2024
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