Individual
STACY YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
Mailing address
3979 NAVY PL, HIGH POINT, NC 27265-9443
(336) 870-3484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245610
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
113039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245610
NC BOARD OF NURSING
NC
Enumeration date
08/30/2016
Last updated
09/17/2020
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