Individual provider · Type 1 NPI
Stanley Edgar Underwood, AGACNP
Acute Care Nurse Practitioner · Demorest, GA
NPI number
1669205209
Active
Practice location
638 Historic Hwy 441 Suite B
Demorest, GA 30535-4561
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice locations
- 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-9000
- 200 S Enota Dr NE, Gainesville, GA 30501-3473 · (770) 534-2020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN254470 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Acute Care Nurse Practitioner Primary | 363LA2100X | APRN-NP254470 (GA) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in Demorest
About NPI 1669205209
Stanley Edgar Underwood, AGACNP's National Provider Identifier is 1669205209, issued on Aug 20, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Demorest, GA. The record was last updated on Oct 12, 2025.