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Stacia Keyunia Tate, FNP
Family Nurse Practitioner in Charlotte, North Carolina
NPI 1699089862

Stacia Keyunia Tate is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Stacia Keyunia Tate practices in Charlotte, NC and has the professional credentials of FNP. The NPI Number for Stacia Keyunia Tate is 1699089862 and holds a License No. 5004759 (North Carolina).

The current practice location address for Stacia Keyunia Tate is 9332 S Tryon St, Charlotte, NC and can be reached out via phone at 704-587-6700.

Location: 9332 S Tryon St, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699089862
Provider Name
Stacia Keyunia Tate
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
9332 S Tryon St, Charlotte, NC, 28219-9305
Phone Number
704-587-6700
Fax Number
Provider Enumeration Date
07/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9332 S Tryon St
City
Charlotte
State
North Carolina
Zip
28273-3108
Phone Number
704-587-6700
Fax Number
person
Provider Business Mailing Address Details
Address
9332 S Tryon St
City
Charlotte
State
North Carolina
Zip
28273-3108
Phone Number
704-587-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5004759 (North Carolina)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5004759 (North Carolina)
Definition
Definition to come...
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