Individual
STACIE CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1000 DES PERES RD STE 300, SAINT LOUIS, MO 63131-2040
(314) 919-2600
(314) 919-2677
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 919-2600
(314) 919-2677
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2021023515
MO
363LW0102X
Women's Health Nurse Practitioner
209022260
IL
Other
Enumeration date
12/02/2021
Last updated
03/31/2025
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