| Doctor Name: | MRS. STACEY ANN DESCHAMPS |
| NPI Number: | 1013325968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP 60489248 |
| Business Practice Address: | 602 N Colorado St Suite D Kennewick, WA - 993367825 |
| Business Phone Number: | 5097358600 |
| Business Fax Number: | 5097837354 |
| Mailing Address: | 3900 S Zintel Way, KENNEWICK |
| State: | WA |
| Postal Code: | 993375092 |
| Phone Number: | 5099423627 |
| Fax Number: | 5099422268 |
| NPI Enumeration Date: | 07/23/2014 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP 60489248 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |