Individual
STACEY ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
27 GENTLE WINDS WAY, GREENVILLE, SC 29605-6447
(864) 361-5928
Mailing address
27 GENTLE WINDS WAY, GREENVILLE, SC 29605-6447
(864) 361-5928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29492
SC
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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