Beasley, Stacey A.

Beasley, Stacey A. is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Beasley, Stacey A. can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP07722 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.07722 Ohio

Profile Details

NPI number 1174514459
LBN Legal business name Beasley, Stacey A.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 8th, 2022 - about 4 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 1174514459 NPPES
Ohio Other RN302896 RN LICENSE NUMBER
Ohio Other NP07722 RN LICENSE NUMBER
Ohio MEDICAID 3032006 RN LICENSE NUMBER

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