Individual
MRS. CASSIE JO STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
234 MEDICAL CIR, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2382
Mailing address
234 MEDICAL CIR, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006278
KY
363LF0000X
Family Nurse Practitioner
3006278
KY
363LF0000X
Family Nurse Practitioner
6278P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100235040
—
KY
Enumeration date
12/03/2009
Last updated
05/07/2018
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