Individual provider · Type 1 NPI
Stacey Jean Slack
Community Health Registered Nurse · Crofton, MD
NPI number
1740879592
Active
Practice location
1746 Laurance Ct
Crofton, MD 21114-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | R120795 (MD) |
Community Health Registered Nurse: Definition to come...
About NPI 1740879592
Stacey Jean Slack's National Provider Identifier is 1740879592, issued on Jan 15, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Crofton, MD. The record was last updated on Jan 15, 2021.