Individual provider · Type 1 NPI

Stacey Glen Banis, APRN

Family Nurse Practitioner · Myrtle Beach, SC

NPI number 1396389938 Active

Practice location

809 82nd Pkwy
Myrtle Beach, SC 29572-4607

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X23374 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1396389938

Stacey Glen Banis, APRN's National Provider Identifier is 1396389938, issued on Nov 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Dec 9, 2025.