Individual
STACY MASSEY STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-2455
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 1496
SC
Other
Enumeration date
07/13/2013
Last updated
09/24/2018
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