Doctor Name: | STACI JEAN PURSLEY |
NPI Number: | 1114300373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 255101 |
Business Practice Address: | 1904 Richland Ave Ceres, CA - 953074562 |
Business Phone Number: | 2093008800 |
Business Fax Number: | |
Mailing Address: | 3490 Suzanne Ct, ATWATER |
State: | CA |
Postal Code: | 953012061 |
Phone Number: | 2092638561 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 255101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |