Curtis, Stacy Leann

Curtis, Stacy Leann is an individual health care provider with primary practice located at 2029 Gordon Cooper Dr , Shawnee OK 74801-9005. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Curtis, Stacy Leann can be contacted via phone (405) 878-5850.

Contact Information

Primary practice address
2029 Gordon Cooper Dr Shawnee OK 74801-9005
Phone: (405) 878-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1883 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1883 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1883 Oklahoma

Profile Details

NPI number 1962732610
LBN Legal business name Curtis, Stacy Leann
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2009
Last updated Jun 21st, 2021 - about 3 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 1962732610 NPPES
Oklahoma MEDICAID 200275480A

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