NPI Profile for STACY JERVIS in ARKANSAS CITY, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Neuroscience |
163WN0800X |
| NPI # | 1538569199 |
|
| Status | Active | |
| Credentials | FNP-BC, MED, CNRN | |
| Entity | Individual | |
| Enumeration date | 09/01/2014 | |
| Last updated | 02/07/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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STACY JERVIS
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