person
Mrs. Staci Jeanne Sides, NP
Family Nurse Practitioner in Lebanon, Indiana
NPI 1023567823

Staci Jeanne Sides is a Family Nurse Practitioner based in Lebanon, IN and is specialized in Family. Staci Jeanne Sides practices in Lebanon, IN and has the professional credentials of NP. The NPI Number for Staci Jeanne Sides is 1023567823 and holds a License No. 71006609A (Indiana).

The current practice location address for Staci Jeanne Sides is 400 N Mount Zion Rd, Lebanon, IN and can be reached out via phone at 765-335-0123 and via fax at 765-335-0127.

Location: 400 N Mount Zion Rd, Lebanon, IN, 46052-8622
person
Provider Profile Details
NPI Number
1023567823
Provider Name
Staci Jeanne Sides
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 N Mount Zion Rd, Lebanon, IN, 46052-8622
Phone Number
765-335-0123
Fax Number
765-335-0127
Provider Enumeration Date
09/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201403450 05 IN
institution
Provider Business Practice Location Address Details
Address
400 N Mount Zion Rd
City
State
Zip
46052-9497
Phone Number
765-335-0123
Fax Number
765-335-0127
person
Provider Business Mailing Address Details
Address
400 N Mount Zion Rd
City
State
Zip
46052-9497
Phone Number
765-335-0123
Fax Number
765-335-0127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71006609A (Indiana)
Definition
Definition to come...
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