Individual provider · Type 1 NPI

Stacy Joelle Lane

Pediatric Nurse Practitioner · Chapel Hill, NC

NPI number 1003344045 Active

Practice location

160 Dental Circle
Chapel Hill, NC 27599-7064

Call (919) 966-4095 Map

Mailing address

1312 Rodessa Run
Raleigh, NC 27607-6011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X229867 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003344045

Stacy Joelle Lane's National Provider Identifier is 1003344045, issued on Jun 2, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chapel Hill, NC. The record was last updated on Jun 2, 2017.