Stacy Henrickson in Concord - Nurse Practitioner
Stacy Henrickson - NPI 1417157611
Stacy Henrickson is a Nurse Practitioner in Concord, North Carolina. Stacy Henrickson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacy Henrickson is 1417157611. The last update date is 2021-01-20.
Stacy Henrickson's current location address is 1090 Ne Gateway Ct Ne, Concord, North Carolina. You can contact this provider via phone number 7044037020. The mailing address for Stacy Henrickson is 1090 Ne Gateway Ct Ne, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Henrickson |
|---|---|
| Address | 1090 Ne Gateway Ct Ne, Concord, North Carolina |
| Phone Number | 7044037020 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1417157611 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2021-01-20 |
Provider Mailing Address Detail
| Address | 1090 Ne Gateway Ct Ne |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252414 |
| Phone Number | 7044037020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5003123 |
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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 |
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What is the unique identifier code issued to Stacy Henrickson by the Centers for Medicare & Medicaid Services?
The Stacy Henrickson has been assigned the NPI (National Provider Identifier) 1417157611. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stacy Henrickson is geographically located?
The Stacy Henrickson is physically situated at the following location: 1090 Ne Gateway Ct Ne, Concord, NC, 280252414.
What is Stacy Henrickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Henrickson'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 Stacy Henrickson receive the assignment of its 1417157611 from the Centers for Medicare & Medicaid Services?
The Stacy Henrickson was issued its 1417157611 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date were the Stacy Henrickson's details last updated?
The information pertaining to the Stacy Henrickson, including its address, specialty, and other details, was most recently updated on 2021-01-20.