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NPI Code Detail

MEDICARE: STACEY LONGORIA PMHNP-C

MEDICARE:   STACEY  LONGORIA  PMHNP-C
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5022115NC

General Provider Information

NPI Number : 1497149264
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY LONGORIA PMHNP-C
Provider Business Mailing Address
First Line : 9525 BIRKDALE CROSSING DR STE 300
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-8459
Country : US
Telephone Number : 704-317-2930
Fax Number :
Provider Business Practice Location Address
First Line : 9525 BIRKDALE CROSSING DR STE 300
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-8459
Country : US
Telephone Number : 704-317-2930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2015
Last Update Date : 12/15/2025

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Directions to “ STACEY LONGORIA PMHNP-C” Practice Location

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