Individual
STACY ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10620 PARK RD STE 202, CHARLOTTE, NC 28210-0106
(844) 235-6999
Mailing address
325 OLD STANCIL RD, KENLY, NC 27542-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5016676
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2020
Last updated
06/04/2025
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