Provider Demographics
NPI:1568879906
Name:STOCKTON, STACEY E (NP)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:E
Last Name:STOCKTON
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Gender:F
Credentials:NP
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Mailing Address - Street 1:20713 E OCOTILLO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6117
Mailing Address - Country:US
Mailing Address - Phone:480-882-9993
Mailing Address - Fax:480-248-2377
Practice Address - Street 1:20713 E OCOTILLO RD
Practice Address - Street 2:STE 100
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6117
Practice Address - Country:US
Practice Address - Phone:480-882-9993
Practice Address - Fax:480-248-2377
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2016-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAP5698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily