Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY EDGAR UNDERWOOD, AGACNP
ActiveSTANLEY EDGAR UNDERWOOD, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in DEMOREST, Georgia. NPI 1669205209 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · DEMOREST, GA
Registration Details
- NPI Number
- 1669205209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2024 (1.9528828897156 yrs)
- Last Updated
- Oct 12, 2025
- Licenses
-
RN254470 (GA)APRN-NP254470 (GA)
Practice Information
- Address
-
638 HISTORIC HWY 441 SUITE BDEMOREST, GA, 305354561Browse GA providers · Browse ZIP 30535
- Phone
- 7705342020
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Acute Care Nurse Practitioner
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.