Individual
STACIE ERIN SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
(228) 523-4676
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
(228) 523-4676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903249
MS
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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