Individual provider · Type 1 NPI

Stacia Keyunia Tate, FNP

Family Nurse Practitioner · Charlotte, NC

NPI number 1699089862 Active

Practice location

9332 S Tryon St
Charlotte, NC 28273-3108

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 28269-2206 · (704) 863-9930
  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 · (704) 563-2150
  • 10210 Couloak Dr, Ste E, Charlotte, NC 28216-7679 · (704) 801-2000
  • 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 · (704) 543-6636

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5004759 (NC)
Family Nurse Practitioner Primary 363LF0000X5004759 (NC)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1699089862

Stacia Keyunia Tate, FNP's National Provider Identifier is 1699089862, issued on Jul 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 9, 2023.