Justice, Stacy L

Justice, Stacy L is an individual health care provider with primary practice located at 557 Main St , Logan WV 25601-3809. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Justice, Stacy L can be contacted via phone (304) 752-3435.

Contact Information

Primary practice address
557 Main St Logan WV 25601-3809
Phone: (304) 752-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 62349 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 62349 West Virginia

Profile Details

NPI number 1699076547
LBN Legal business name Justice, Stacy L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2010
Last updated Jan 17th, 2018 - about 8 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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