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Stacey Jean Slack
Community Health Registered Nurse in Crofton, Maryland
NPI 1740879592

Stacey Jean Slack is a Community Health Registered Nurse based in Crofton, MD and is specialized in Community Health. Stacey Jean Slack practices in Crofton, MD. The NPI Number for Stacey Jean Slack is 1740879592 and holds a License No. R120795 (Maryland).

The current practice location address for Stacey Jean Slack is 1746 Laurance Ct, Crofton, MD and can be reached out via phone at 240-461-7118.

Location: 1746 Laurance Ct, Crofton, MD, 21114-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740879592
Provider Name
Stacey Jean Slack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1746 Laurance Ct, Crofton, MD, 21114-2128
Phone Number
240-461-7118
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1746 Laurance Ct
City
Crofton
State
Maryland
Zip
21114-2128
Phone Number
240-461-7118
Fax Number
person
Provider Business Mailing Address Details
Address
1746 Laurance Ct
City
Crofton
State
Maryland
Zip
21114-2128
Phone Number
240-461-7118
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
R120795 (Maryland)
Definition
Definition to come...
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