Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY GAILLARD
Active Sole ProprietorSTACY GAILLARD is a Adult Health Nurse Practitioner healthcare provider located in MONCKS CORNER, South Carolina. NPI 1285171694 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MONCKS CORNER, SC
Registration Details
- NPI Number
- 1285171694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2017 (9.5560464759976 yrs)
- Last Updated
- Jun 28, 2023
- Licenses
-
20150 (SC)20150 (SC)20150 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W MAIN STMONCKS CORNER, SC, 294612673Browse SC providers · Browse ZIP 29461
- Phone
- 8437194600
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Community Health Nurse
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in MONCKS CORNER, SC
| Name | Credential | NPI |
|---|---|---|
| NATALIE HENDRICKSON | A-GNP | 1427661834 |
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.