Stacy L. Harris in Jacksonville - Nurse Anesthetist, Certified Registered

Stacy L. Harris - NPI 1053490466

Stacy L. Harris is a Nurse Anesthetist, Certified Registered in Jacksonville, Florida. Stacy L. Harris practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Stacy L. Harris is 1053490466. The last update date is 2021-08-23.

Stacy L. Harris's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Stacy L. Harris is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy L. Harris
Address 4500 San Pablo Rd S, Jacksonville, Florida
Phone Number 9049532000
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1053490466
Provider Enumeration Date 2006-11-04
Last Updated Date 2021-08-23

Provider Mailing Address Detail

Address 4500 San Pablo Rd S
City Jacksonville
State Florida (FL)
Post Code 322241865
Phone Number 9049532000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No RN52790L
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

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FAQs about Stacy L. Harris

What is the unique identifier code issued to Stacy L. Harris by the Centers for Medicare & Medicaid Services?

The Stacy L. Harris has been assigned the NPI (National Provider Identifier) 1053490466. 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 provide the complete physical location address of Stacy L. Harris?

The Stacy L. Harris is physically situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the postal code 322241865.

What is Stacy L. Harris's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stacy L. Harris's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053490466 to Stacy L. Harris?

The Centers for Medicare & Medicaid Services assigned the 1053490466 to Stacy L. Harris on 2006-11-04.

As of what date were the details related to Stacy L. Harris most recently updated or revised?

The information pertaining to Stacy L. Harris, including its address, specialty, and other relevant details, was last updated or revised on 2021-08-23.

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