Ricketts-Mccook, Stacie Lynn

Ricketts-Mccook, Stacie Lynn is an sole proprietor health care provider with primary practice located at 1133 Eagles Landing Pkwy , Stockbridge GA 30281-5085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ricketts-Mccook, Stacie Lynn can be contacted via phone (678) 604-5901.

Contact Information

Primary practice address
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085
Phone: (678) 604-5901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10235 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN185141 Georgia

Profile Details

NPI number 1053956045
LBN Legal business name Ricketts-Mccook, Stacie Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2019
Last updated Jul 19th, 2024 - about 2 months 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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