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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY L WHITAKER, PA-C

Active

STACEY L WHITAKER, PA-C is a Physician Assistant healthcare provider located in PRATTVILLE, Alabama. NPI 1518360973 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PRATTVILLE, AL

Registration Details

NPI Number
1518360973
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2014 (11.837464001708 yrs)
Last Updated
Aug 26, 2024
Licenses
PA2812 (ID)
TPPA773 (FL)
PA1494 (AL)

Practice Information

Address
2008 WYNFIELD DR
PRATTVILLE, AL, 360677157
Browse AL providers · Browse ZIP 36067
Phone
2083917280
Fax
5342024595
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PRATTVILLE, AL

Name Credential NPI
TIFFANY CELESTE JONES PA-C 1790187805
NICHOLAS BRIT GERLACH PA 1831965565
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.