Individual
STACY K ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
(801) 255-0281
Mailing address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
(801) 255-0281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
199062-4405
UT
Other
Enumeration date
07/05/2006
Last updated
05/23/2011
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