Individual
JULIA STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905-4539
(401) 444-4741
(401) 444-4445
Mailing address
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905-4539
(401) 444-4741
(401) 444-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CLP06926
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
RI
Other
Enumeration date
05/26/2026
Last updated
06/04/2026
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