| NPI | 1194252601 |
|---|---|
| Former Name | STACIE LEE COBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9285590) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9285590) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9285590) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-04-02 |