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STACEY MARIE BRUNDRETT CNS
NPI 1174137756
Clinical Nurse Specialist - Medical-Surgical in Seymour Johnson Afb, NC

Active since September 01, 2020
2803 MEDICAL CAMPUS DR, SEYMOUR JOHNSON AFB, NC 27531(919) 722-8714 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2023, Sep 1, 2020 (2 updates tracked since 2020).

About Stacey Marie Brundrett Cns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MARIE BRUNDRETT CNS (NPI 1174137756) is an individual medical-surgical provider in Seymour Johnson Afb, North Carolina, licensed in Florida (APRN9630300) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1174137756
Entity TypeIndividualFemale
Primary Taxonomy364SM0705X
Provider Legal NameSTACEY MARIE BRUNDRETTCredential: CNS
Location Address2803 MEDICAL CAMPUS DRSeymour Johnson Afb, NC 27531
Mailing Address2803 Medical Campus DrSeymour Johnson Afb, NC 27531 · (919) 722-8714
Phone(919) 722-8714
Sole ProprietorNo
Enumeration DateSeptember 1, 2020
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1174137756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Medical-SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SM0705X
License✔ Licensed in FL · APRN9630300
2803 MEDICAL CAMPUS DR, Seymour Johnson Afb, NC 27531
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISHAUNDA LAKEISH VICK FNP-C
Nurse Practitioner (Family)
2803 MEDICAL CAMPUS DR, SJAFB
GOLDSBORO, NC 27531
Wayne County (919) 722-1509
MR. JOHN M. WADE DPT
Physical Therapist
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Wayne County (929) 722-8463
KRISTEN RICKER
Pharmacist
2803 MEDICAL CAMPUS DR
SEYMOUR JOHNSON AFB, NC 27531
Wayne County (919) 722-1802
DR. WILDEMAR IRENE SUMMERS TEMPLE PHD
Psychologist
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Wayne County (919) 722-1802
TWANA HADDEN
Nurse Practitioner (Family)
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Wayne County (702) 722-1821
GEORGE JUKUR MAFWIL
Nurse Practitioner (Family)
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Wayne County (919) 722-1110
DR. RACHEL EDEN LEIGH PALMER DO
Preventive Medicine (Aerospace Medicine)
2803 MEDICAL CAMPUS DR
SEYMOUR JOHNSON AFB, NC 27531
Wayne County (919) 722-1580
DR. CHRISTOPHER MICHAEL GIBSON PT
Physical Therapist
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Wayne County (919) 722-1802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Brundrett's NPI number?

The NPI number for Stacey Brundrett is 1174137756. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Stacey Brundrett located?

Stacey Brundrett practices at 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531. The listed phone number is (919) 722-8714.

What is Stacey Brundrett's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Medical-Surgical, with taxonomy code 364SM0705X.

When was this NPI record last updated?

The NPPES record for Stacey Brundrett was last updated on February 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.