Individual
STACEY ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 ARCHWAY CT, LYNCHBURG, VA 24502-2889
(434) 237-3664
Mailing address
300 KILLARNEY CT APT A, LYNCHBURG, VA 24502-5715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178583
VA
Other
Enumeration date
06/29/2020
Last updated
02/27/2023
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