Stacie L Ricketts-Mccook, NP
Nurse Practitioner, Adult Health in Stockbridge, Georgia
1053956045- Practice location
- 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085
- Phone
- 678-604-5901
- Fax
- —
- Last updated
- July 19, 2024
Stacie Lynn Ricketts-Mccook is a Nurse Practitioner, Adult Health based in Stockbridge, GA. Stacie Lynn Ricketts-Mccook practices in Stockbridge, GA and has the professional credentials of NP. The NPI Number for Stacie Lynn Ricketts-Mccook is 1053956045 and holds a License No. 10235 (CT). The current practice location address for Stacie Lynn Ricketts-Mccook is 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 and can be reached out via phone at 678-604-5901.
Provider Profile Details
- NPI Number
- 1053956045
- Provider Name
- Stacie Lynn Ricketts-Mccook
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085
- Phone Number
- 678-604-5901
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 13, 2019
- Last Update Date
- July 19, 2024
- Certification Date
- July 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - City
- Stockbridge
- State
- Georgia
- Zip
- 30281-5085
- Phone Number
- 678-604-5901
Provider Business Mailing Address Details
- Address
- 863 N Main Street Ext Ste 200
Wallingford, CT 06492-2434 - City
- Wallingford
- State
- CT
- Zip
- 06492-2434
License Information
- License Number (1)
- 10235
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- RN185141
- License State (2)
- GA
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stacie L Ricketts-Mccook, NP?
The NPI number of Stacie L Ricketts-Mccook, NP is 1053956045. It was assigned on November 13, 2019 and is currently active in the NPPES registry.
What is the specialty of Stacie L Ricketts-Mccook, NP?
Stacie L Ricketts-Mccook, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 10235.
Where does Stacie L Ricketts-Mccook, NP practice?
The practice location is 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085. The office can be reached at 678-604-5901 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053956045 directly on the NPPES registry website.