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Individual

STACEY ENGLISH WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-1237
(334) 382-1239
Mailing address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-1237
(334) 382-1239

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-077155
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168962332
GROUP NPI
AL
01
511-28560
BCBS
AL
05
529906610 GROUP
AL
Enumeration date
05/21/2012
Last updated
10/12/2012
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