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Stacy Holley, FNP
Family Nurse Practitioner in Grayson, Kentucky
NPI 1144647652

Stacy Holley is a Family Nurse Practitioner based in Grayson, KY and is specialized in Family. Stacy Holley practices in Grayson, KY and has the professional credentials of FNP. The NPI Number for Stacy Holley is 1144647652 and holds a License No. 84657 (Kentucky).

The current practice location address for Stacy Holley is 107 E Main St, Grayson, KY and can be reached out via phone at 606-474-0244 and via fax at 606-474-0412.

Location: 107 E Main St, Grayson, KY, 41143-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144647652
Provider Name
Stacy Holley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
107 E Main St, Grayson, KY, 41143-1301
Phone Number
606-474-0244
Fax Number
606-474-0412
Provider Enumeration Date
03/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102228 05 OH
3053133 01 WV BCBS
7100295790 05 KY
institution
Provider Business Practice Location Address Details
Address
107 E Main St
City
Grayson
State
Kentucky
Zip
41143-1301
Phone Number
606-474-0244
Fax Number
606-474-0412
person
Provider Business Mailing Address Details
Address
107 E Main St
City
Grayson
State
Kentucky
Zip
41143-1301
Phone Number
606-474-0244
Fax Number
606-474-0412
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
84657 (West Virginia)
Definition
Definition to come...
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