Individual
TAMMY STANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2511 OLD CORNWALLIS RD, SUITE 200, DURHAM, NC 27713-1869
(919) 932-5700
Mailing address
1100 VANDORA SPRINGS RD, GARNER, NC 27529-3719
(919) 880-3318
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5008746
NC
Other
Enumeration date
07/19/2016
Last updated
09/23/2021
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