SearchOhio101YA0400X

Jessica Stacy

NPI 1184271264 · on the registry since 2019

Practice

Address
15 N Corwin St
Lebanon, OH 45036
Phone
(513) 968-9866

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio