Individual provider · Type 1 NPI
Shavonn Crystal Stallings, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1790028090
Active
Practice location
1000 10th Ave Ste 1A-69
New York, NY 10019-1147
Fax (212) 523-6427
Mailing address
1111 Amsterdam Ave, Scrymser 3rd Floor
New York, NY 10025-1716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305276-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1790028090
Shavonn Crystal Stallings, NP's National Provider Identifier is 1790028090, issued on Apr 4, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 29, 2019.