Moore, Stacey J

Moore, Stacey J is an individual health care provider with primary practice located at 1955 Dixie Hwy Ste C, Ft Wright KY 41011-2792. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Women's Health Care, Ambulatory. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Stacey J can be contacted via phone (859) 341-5550.

Contact Information

Primary practice address
1955 Dixie Hwy Ste C Ft Wright KY 41011-2792
Phone: (859) 341-5550
Fax: (859) 344-3782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3808P Kentucky
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 1086649 Kentucky

Profile Details

NPI number 1275684268
LBN Legal business name Moore, Stacey J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 28th, 2012 - about 13 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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