Judy Sasser Stanfield
Nurse Practitioner - Gerontology
4600 Cumberland Rd
Fayetteville
, North Carolina 28306-2412
Judy Sasser Stanfield
Nurse Practitioner - Gerontology
4600 Cumberland Rd
Fayetteville
, North Carolina 28306-2412
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Judy Sasser Stanfield
- 3803 N Elm St
- Greensboro, NC
- Zip : 27455-2593
- Phone :
Second Address
- Judy Sasser Stanfield
- 4600 Cumberland Rd
- Fayetteville, NC
- Zip : 28306-2412
- Phone : (910) 429-1690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 600110 | NC |
National Provider Identifier
| NPI | 1013992056 |
|---|---|
| Provider Name | Judy Sasser Stanfield |
| First Address | Greensboro, NC 27455-2593 |
| Second Address | Fayetteville, NC 28306-2412 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2005 |
| Last Update Date | 23/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500024589 | RR MEDICARE (01) | |
| 7000914 | (05) | NC |
| 7370730 | AETNA (01) | |
| B3900 | MEDCOST (01) | |
| S93029 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.