Andreacchio, Stacy Rae

Andreacchio, Stacy Rae is an sole proprietor health care provider with primary practice located at 5004 Highway 39 N , Meridian MS 39301-1021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Andreacchio, Stacy Rae can be contacted via phone (601) 693-8307.

Contact Information

Primary practice address
5004 Highway 39 N Meridian MS 39301-1021
Phone: (601) 693-8307
Fax: (601) 693-6794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R828589 Mississippi

Profile Details

NPI number 1700865235
LBN Legal business name Andreacchio, Stacy Rae
Credentials FPMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated May 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865235 NPPES
Mississippi MEDICAID 08903768

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