Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROOSEVELT STACKHOUSE JR., RN
Active Sole ProprietorROOSEVELT STACKHOUSE JR., RN is a Home Health Nurse healthcare provider located in FLORENCE, South Carolina. NPI 1225455074 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · FLORENCE, SC
Registration Details
- NPI Number
- 1225455074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2014 (12.393991123684 yrs)
- Last Updated
- Mar 18, 2014
- License
-
37318 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1705 W EVANS STFLORENCE, SC, 295013331Browse SC providers · Browse ZIP 29501
- Phone
- 8437741577
- Fax
- 8437741047
- Primary Specialty
-
Home Health Nurse
163WH0200X
Other Home Health Nurse Providers in FLORENCE, SC
| Name | Credential | NPI |
|---|---|---|
| STACIE HOPKINS WATFORD | RN | 1770909525 |
| JENNIFER ERVIN | RN | 1619394863 |
| LORI FLOWERS | — | 1609248384 |
| TOMEKIA S QUILLEN | RN | 1568315208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.