Individual
STACY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
958 EDGEWOOD RD, ELIZABETH, NJ 07208-1054
(973) 687-0217
Mailing address
958 EDGEWOOD RD, ELIZABETH, NJ 07208-1054
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15443300
NJ
Other
Enumeration date
07/18/2024
Last updated
11/24/2025
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