Individual
JACQUELINE A STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 246-6006
Mailing address
1330 TOWERLAWN DR, MONROEVILLE, PA 15146-4418
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN204596L
PA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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