Individual
ANNIE STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 EASTOVER NORTH DR, FAYETTEVILLE, NC 28312-6707
(910) 261-3633
Mailing address
2920 EASTOVER NORTH DR, FAYETTEVILLE, NC 28312-6707
(910) 261-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
206304
NC
Other
Enumeration date
06/04/2024
Last updated
07/25/2024
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