Whiteside, Stacy

Whiteside, Stacy is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatric Oncology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Whiteside, Stacy can be contacted via phone (614) 722-3254.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-3254
Fax: (614) 722-4574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatric Oncology 163WP0218X RN248329 NP06037 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA06037NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.06037 Ohio

Profile Details

NPI number 1477757086
LBN Legal business name Whiteside, Stacy
Credentials RN MS CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Feb 15th, 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 1477757086 NPPES
Ohio MEDICAID 3028619

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