Individual
STACY FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
9691 HITCHCOCK RD, DISPUTANTA, VA 23842-6402
(919) 761-4342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005416
VA
363A00000X
Physician Assistant
024314
NY
363A00000X
Physician Assistant
Primary
25MP00806500
NJ
363A00000X
Physician Assistant
5601012407
MI
Other
Enumeration date
07/07/2016
Last updated
05/07/2024
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