Individual provider · Type 1 NPI
Stacey Lynn Childress, AGPCNP
Adult Health Nurse Practitioner · Charleston, SC
NPI number
1083018030
Active
Practice location
316 Calhoun St
Charleston, SC 29401-1113
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 23153 (SC) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Charleston
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- Johana Rocio Fajardo, DNP ANP-BCAdult Health Nurse Practitioner Charleston, SC NPI 1043578438
- Emily Lynn Kobus, NP-CAdult Health Nurse Practitioner Charleston, SC NPI 1043751654
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- Hwajoo Haynes, MSN, ANP, BC, APRNAdult Health Nurse Practitioner Charleston, SC NPI 1134326788
About NPI 1083018030
Stacey Lynn Childress, AGPCNP's National Provider Identifier is 1083018030, issued on Oct 20, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charleston, SC. The record was last updated on May 31, 2022.