License holder summary

PHYLLIS STACKHOUSE is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for PHYLLIS STACKHOUSE is Spring Mills PA 16875. This licensed professional license is current. The license was granted 02/25/1988 and expired on 04/30/2018.

Pennsylvania

Department of State

PHYLLIS STACKHOUSE
Certified Registered Nurse Practitioner
License number
SP001330D
Date granted
02/25/1988
Date expires
04/30/2018
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Spring Mills PA 16875
palicensing.org
ID 16668286
LAST UPDATED 2024-03-16 06:25:18 UTC

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