Individual
STACY MARIE EATON
Active
Individual
STACY MARIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN205801
GA
363LA2200X
Adult Health Nurse Practitioner
RN205801
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN205801
GA
364SA2200X
Adult Health Clinical Nurse Specialist
RN205801
GA
Other
Enumeration date
01/21/2016
Last updated
01/07/2021
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