NPI 1902524754

Stacy Smith, MDIVEDD

Practitioner Religious Nonmedical Practitioner Memphis, TN

Practice location

Address: 1211 Union Ave Fl 7, Memphis, TN 38104-6638
Phone: (202) 487-0818

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Registry record

NPI: 1902524754
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2022
Record last updated: 18 Aug 2022

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.