Individual
STACY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 KNIGHT PL, JACKSONVILLE, NC 28546-8020
(646) 203-1800
Mailing address
200 KNIGHT PL, JACKSONVILLE, NC 28546-8020
(646) 203-1800
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
256892
NC
Other
Enumeration date
11/24/2025
Last updated
12/04/2025
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