Individual provider · Type 1 NPI

Sandra Jo Stack, APRN-FNP-BC

Family Nurse Practitioner · Beckley, WV

NPI number 1235788845 Active

Practice location

250 Stanaford Rd
Beckley, WV 25801-3140

Mailing address

250 Stanaford Rd Ste 106
Beckley, WV 25801-3140

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X104460 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1235788845

Sandra Jo Stack, APRN-FNP-BC's National Provider Identifier is 1235788845, issued on Sep 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beckley, WV. The record was last updated on Sep 10, 2019.