STACY KELLUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034693

License Status

ACTIVE

Business

First Name

STACY

Last Name

KELLUM

Business Name

STACY KELLUM

Original Issue Date

02/04/2026

Effective Date

02/04/2026

Expiration Date

05/31/2026

City

ONEILL

State

Zip

68763

Ever Disciplined

LastModifiedDate

03/02/2026