Stitz, Stacey Jung

Stitz, Stacey Jung is an individual health care provider with primary practice located at 707 Moon Road , Plainfield IN 46168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stitz, Stacey Jung can be contacted via phone (317) 839-7737.

Contact Information

Primary practice address
707 Moon Road Plainfield IN 46168
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28192473A Indiana

Profile Details

NPI number 1962123620
LBN Legal business name Stitz, Stacey Jung
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2022
Last updated Sep 9th, 2022 - about 2 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 1962123620 NPPES
Indiana Other 71012947A APRN PRESCRIPTIVE AUTHORITY

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