Individual provider · Type 1 NPI
Savannah Lavinia Stackhouse
Family Nurse Practitioner · Fayetteville, NC
NPI number
1093546145
Active
Practice location
2125 Valleygate Dr Ste 102
Fayetteville, NC 28304-3753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5020623 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093546145
Savannah Lavinia Stackhouse's National Provider Identifier is 1093546145, issued on Aug 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 12, 2024.