Stacey Cervantes in Lake City - Nurse Practitioner
Stacey Cervantes - NPI 1629077144
Stacey Cervantes is a Nurse Practitioner in Lake City, Florida. Stacey Cervantes practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacey Cervantes is 1629077144. The last update date is 2011-10-10.
Stacey Cervantes's current location address is 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida. You can contact this provider via phone number 3867196500 and fax number 3867196503. The mailing address for Stacey Cervantes is 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey Cervantes |
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Address | 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida |
Phone Number | 3867196500 |
Fax Number | 3867196503 |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1629077144 |
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Provider Enumeration Date | 2005-07-18 |
Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
Address | 1140 Sw Bascom Norris Dr Ste 104 |
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City | Lake City |
State | Florida (FL) |
Post Code | 320251329 |
Phone Number | 3867196500 |
Fax Number | 3867196503 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | ARNP1477082 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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308846400 | FL | -- |
Post Comment/ Review Below
What is the Stacey Cervantes's 1629077144?
The Stacey Cervantes's NPI (National Provider Identifier) Number is 1629077144. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacey Cervantes is physically located?
The Stacey Cervantes is situated at the following address: 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 320251329.
What is Stacey Cervantes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacey Cervantes's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629077144 to Stacey Cervantes?
The Centers for Medicare & Medicaid Services originally issued the 1629077144 to Stacey Cervantes on 2005-07-18.
When was the Stacey Cervantes's information last updated?
The Stacey Cervantes's information was last updated on 2011-10-10.