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Stacy Jean
Family Nurse Practitioner in Hollywood, Florida
NPI 1154965341

Stacy Jean is a Family Nurse Practitioner based in Hollywood, FL and is specialized in Family. Stacy Jean practices in Hollywood, FL. The NPI Number for Stacy Jean is 1154965341 and holds a License No. 11004751 (Florida).

The current practice location address for Stacy Jean is 6500 Grant St, Hollywood, FL and can be reached out via phone at 407-922-0733.

Location: 6500 Grant St, Hollywood, FL, 33024-5840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154965341
Provider Name
Stacy Jean
Credential
Provider Entity Type
Individual
Gender
Female
Address
6500 Grant St, Hollywood, FL, 33024-5840
Phone Number
407-922-0733
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6500 Grant St
City
Hollywood
State
Florida
Zip
33024-5840
Phone Number
407-922-0733
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Grant St
City
Hollywood
State
Florida
Zip
33024-5840
Phone Number
407-922-0733
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11004751 (Florida)
Definition
Definition to come...
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