Individual
STACEY JEAN BRAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
705 WH SMITH BLVD, GREENVILLE, NC 27834-3752
(252) 329-8482
(252) 558-0788
Mailing address
1110 4TH ST, MACCLESFIELD, NC 27852
(919) 330-8127
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5017192
NC
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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