Individual
STACIE E ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP PMHNP-BC
Contact information
Practice address
1653 SE NORTH BLACKWELL DR, PORT ST LUCIE, FL 34952-6651
(480) 864-3870
Mailing address
1653 SE NORTH BLACKWELL DR, PORT ST LUCIE, FL 34952-6651
(717) 315-9731
(717) 251-1570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11026900
FL
Other
Enumeration date
06/19/2023
Last updated
05/26/2024
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