STACEY L SMITH

SULLIVAN, IN
NPI1912947169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71000086A)
Enumeration Date2006-06-07
Last Update Date2021-04-27
Business Address
STACEY L SMITH FNP
2229 MARY SHERMAN DR
SULLIVAN, IN 47882-7633
Phone number: 812-268-3318
Mailing Address
STACEY L SMITH FNP
2229 MARY SHERMAN DR PO BOX 230
SULLIVAN, IN 47882-7633
Phone number: 812-268-3318
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