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STACY GAILLARD
NPI 1285171694
Nurse Practitioner - Adult Health in Moncks Corner, SC

Active since January 23, 2017
109 W MAIN ST, MONCKS CORNER, SC 29461(843) 719-4600 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy Gaillard NPPES

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

STACY GAILLARD (NPI 1285171694) is an individual adult health provider in Moncks Corner, South Carolina, licensed in South Carolina (20150) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1285171694
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTACY GAILLARD
Location Address109 W MAIN STMoncks Corner, SC 29461-2673
Mailing Address411 Farmers Market RdSaint George, SC 29477-8290
Phone(843) 719-4600
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1285171694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 20150
Also ListedRegistered NurseTaxonomy 163W00000X · License 20150 (SC)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 20150 (SC)
109 W MAIN ST, Moncks Corner, SC 29461
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Other Providers at the Same Location NPPES 15

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

MRS. PAMELA DEAN RN
Registered Nurse
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4635
SHADELL MURRAY RN
Registered Nurse (Community Health)
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4610
SANDY MOORE RN
Registered Nurse (Community Health)
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4608
MRS. APPOLLONIA SPEIGHTS WASHINGTON RN
Registered Nurse (Community Health)
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 214-4216
MRS. STEPHANIE B CORPOLONGO
Registered Nurse
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4600
MS. SHANIQUA DAWN ALSTON MSN, APRN
Registered Nurse
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4600
MARTHA FLETCHER
Registered Nurse (Community Health)
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4604
MRS. DELORES MCGHEE SMALLS RN
Registered Nurse
109 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 719-4616

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 Stacy Gaillard's NPI number?

The NPI number for Stacy Gaillard is 1285171694. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Stacy Gaillard located?

Stacy Gaillard practices at 109 W Main St, Moncks Corner, SC 29461. The listed phone number is (843) 719-4600.

What is Stacy Gaillard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Stacy Gaillard was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.