Ross, Stacey L.

Ross, Stacey L. is an individual health care provider with primary practice located at 265 S Scatterfield Rd , Anderson IN 46012-5106. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Orthopedic, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ross, Stacey L. can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
265 S Scatterfield Rd Anderson IN 46012-5106
Fax: (401) 652-9787
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Orthopedic 163WX0800X 28144441A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003191A Indiana

Profile Details

NPI number 1881797694
LBN Legal business name Ross, Stacey L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 18th, 2015 - about 9 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 1881797694 NPPES
Indiana MEDICAID 200982030

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