Individual
MISS STACEY L. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
20 DUKE MEDICINE CIR, DURHAM, NC 27710-2000
(919) 684-8111
(919) 620-4921
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-1055
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00130200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
5005090
NC
Other
Enumeration date
12/27/2007
Last updated
03/11/2013
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