Individual
VERONICA LEVETTE STUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6356
Mailing address
420 POLIFKA DR SHAW, SHAW AFB, SC 29152
(803) 895-6356
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
23193
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8213
—
SC
Enumeration date
11/04/2019
Last updated
02/26/2026
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