Mccoy, Stacy Lynn

Mccoy, Stacy Lynn is an individual health care provider with primary practice located at 1010 Summitt Dr , Middletown OH 45042-3400. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccoy, Stacy Lynn can be contacted via phone (513) 424-0122.

Contact Information

Primary practice address
1010 Summitt Dr Middletown OH 45042-3400
Phone: (513) 424-0122
Fax: (513) 424-3863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.350263 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 021098 Ohio

Profile Details

NPI number 1285948737
LBN Legal business name Mccoy, Stacy Lynn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Jan 13th, 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 1285948737 NPPES
Ohio Other H366490 MEDICARE PTAN
Ohio MEDICAID 0243325 MEDICARE PTAN

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