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NPI Profile for STACCIE A ALLEN in STARKE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1770998890 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/26/2014 | |
| Last updated | 01/19/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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STACCIE A ALLEN
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STACCIE A ALLEN, NP