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NPI Code Detail

MEDICARE: STACEY OXFORD AGACNP

MEDICARE: STACEY OXFORD AGACNP
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
1363LA2100XAcute Care Nurse PractitionerRN249486GA
2163W00000XRegistered NurseRNGA

General Provider Information

NPI Number : 1811654403
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY OXFORD AGACNP
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1315 JESSE JEWELL PKWY NE STE 300
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3875
Country : US
Telephone Number : 770-219-6520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 03/04/2026

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