Individual
ASHLYNN JOY STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
4816 PATRICIA ST, RAPID CITY, SD 57703-0217
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R055028
SD
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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