Individual
STACEY MARIE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
855 CURTIS PKWY SE, CALHOUN, GA 30701-3688
(706) 629-1126
(706) 629-2696
Mailing address
855 CURTIS PKWY SE, CALHOUN, GA 30701-3688
(706) 629-1126
(706) 629-2696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN190644
GA
Other
Enumeration date
05/16/2018
Last updated
07/31/2026
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