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Individual

MS. STACY FIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1250 GRUMMAN PL STE B, TITUSVILLE, FL 32780-7927
(321) 269-4240
(321) 269-5248
Mailing address
1250 GRUMMAN PL STE B, TITUSVILLE, FL 32780-7927
(321) 269-4240
(321) 269-5248

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
APRN9309754
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9309754
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9309754
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102525700
FL
01
MH827
MEDICARE
Enumeration date
07/30/2015
Last updated
04/28/2026
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