MEDICARE: STACIE DENSON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN266057	GA

General Provider Information

NPI Number	:	1619811494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACIE DENSON APRN

Provider Business Mailing Address
First Line	:	PO BOX 942
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-0942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 942
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-0942
Country	:	US
Telephone Number	:	813-300-9608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

Similar Medicare Providers

1265127856 — KARA BOWMAN LMT, NMT, CPMT
Practice Location Address:

5604 WENDY BAGWELL PKWY STE 122
HIRAM, GA
30141-7814

Practice Phone: 404-852-2243
Practice Fax:

1710821301 — THERAPY WITH TABITHA
Practice Location Address:

45 DAVIS RD
HIRAM, GA
30141-4652

Practice Phone: 404-538-0357
Practice Fax:

1053254748 — DAISY F TRUJILLO
Practice Location Address:

279 S LAKE DR
HIRAM, GA
30141-4033

Practice Phone: 943-213-1557
Practice Fax:

1952304933 — DR. YONG S. LEE MD
Practice Location Address:

148 BILL CARRUTH PKWY STE 120
HIRAM, GA
30141-3756

Practice Phone: 770-445-5666
Practice Fax:

1043215403 — DR. KATHLEEN A. LONG MD
Practice Location Address:

144 BILL CARRUTH PKWY STE 3100
HIRAM, GA
30141-3819

Practice Phone: 678-363-1940
Practice Fax: 678-581-7110

1518962703 — DR. HARVEY NORTON SACKS MD
Practice Location Address:

148 BILL CARRUTH PKWY STE 4200
HIRAM, GA
30141-3754

Practice Phone: 678-324-4444
Practice Fax: 770-528-9932

Directions to “ STACIE DENSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.