Individual
STEPHANIE NICOLE STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-C
Contact information
Practice address
2824 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 955-9107
Mailing address
2824 HILLCREEK DR, AUGUSTA, GA 30909-5628
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN209944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209944
—
GA
Enumeration date
10/02/2019
Last updated
11/22/2021
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