Stacy, Brandi L

Stacy, Brandi L is an individual health care provider with primary practice located at 2003 S 7Th St , Hickman KY 42050-1841. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stacy, Brandi L can be contacted via phone (270) 236-3337.

Contact Information

Primary practice address
2003 S 7Th St Hickman KY 42050-1841
Phone: (270) 236-3337
Fax: (270) 236-3340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007706 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007706 Kentucky

Profile Details

NPI number 1760722144
LBN Legal business name Stacy, Brandi L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Jun 21st, 2024 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760722144 NPPES
Kentucky MEDICAID 7100237310

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