MISS STACEY L. SHIELDS APN-C NPI 1356525109

NPI Information

NPI: 1356525109
Provider Name: MISS STACEY L. SHIELDS, APN-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
20 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
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MISS Stacey L. Shields, APN-C is an adult health nurse practitioner in Durham, NC with 18 years of experience. MISS Stacey L. Shields, APN-C NPI is 1356525109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710-000
Phone: (919) 684-8111
Fax: (919) 620-4921

The NPI 1356525109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 3/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	26NJ00130200	NEW JERSEY	No
2	363LA2200X	Nurse Practitioner	Adult Health	5005090	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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