Stacey Jean Slack
Stacey Jean Slack is a Community Health Registered Nurse in Crofton, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
1746 Laurance CtCrofton, MD 21114-2128
Phone: (240) 461-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Registered Nurse (primary) | Taxonomy 163WC1500X · Licence R120795 (MD) |
|---|
Record details
| NPI number | 1740879592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2021 |
| Last updated in NPPES | January 15, 2021 |
| Certification date | January 15, 2021 |
| Mailing address | 1746 Laurance Ct, Crofton, MD 21114-2128 |