STACY GAILLARD
Nurse Practitioner - Adult Health
Active
Individual
NPI: 1285171694
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 20150 (SC) |
| Registered Nurse - Community Health | 163WC1500X | No | 20150 (SC) |
| Nurse Practitioner - Adult Health | 363LA2200X | Yes | 20150 (SC) |
Frequently Asked Questions
NPI 1285171694 is the National Provider Identifier for STACY GAILLARD, a Nurse Practitioner - Adult Health provider located in Moncks Corner, SC. This NPI was enumerated on January 23, 2017.
STACY GAILLARD practices at 109 W MAIN ST, Moncks Corner, SC 29461.
Quick Facts
- NPI
- 1285171694
- Type
- Individual
- Enumerated
- Jan 23, 2017
- Last Updated
- Jun 28, 2023
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