Individual
MS. KIRBY ELIZABETH STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-5862
(812) 523-4753
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-5862
(812) 523-4753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004977A
IN
Other
Enumeration date
07/09/2014
Last updated
11/14/2022
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