NPI 1104448281
Stacey Darrisaw, RNCCM
Practice location
- Address
- 2020 7th Ave, Columbus, GA 31904-8914
- Phone
- (762) 822-1242
- Fax
- (706) 494-4445
- Mailing address
- 49 Westwood Way, Fortson, GA 31808-6069
Registered specialties (3)
Case Management Agency
Primary
Case Management Registered Nurse
Case Manager/Care Coordinator
Registry record
- NPI
- 1104448281
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 May 2020
- Record last updated
- 12 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.