Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Gaillard

Individual provider Registered Nurse · NPI 1285171694

Stacy Gaillard is a Registered Nurse in Moncks Corner, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2017
Specialties on file
3

Practice location Address checks out

109 W Main St
Moncks Corner, SC 29461-2673
Phone: (843) 719-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 20150 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 20150 (SC)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 20150 (SC)

Record details

NPI number1285171694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2017
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address411 Farmers Market Rd, Saint George, SC 29477-8290

Other providers in Moncks Corner