Individual provider · Type 1 NPI
Stacey Jannette Bass, MSN, RN, PNP
Pediatric Nurse Practitioner · Orange, CA
NPI number
1295085918
Active
Practice location
455 S Main St
Orange, CA 92868-3835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 583021 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1295085918
Stacey Jannette Bass, MSN, RN, PNP's National Provider Identifier is 1295085918, issued on Sep 11, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orange, CA. The record was last updated on Sep 11, 2012.