Individual provider · Type 1 NPI

Stacie Renee' Coram, REGISTERED NURSE

Registered Nurse · Fort Polk, LA

NPI number 1053244681 Active

Practice location

1585 3rd St Bldg 285
Fort Polk, LA 71459-5102

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN133540 (LA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053244681

Stacie Renee' Coram, REGISTERED NURSE's National Provider Identifier is 1053244681, issued on Jun 4, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Polk, LA. The record was last updated on Jun 4, 2026.