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Stacy Jo Kennedy, FNP-BC
Family Nurse Practitioner in Evanston, Wyoming
NPI 1669947610

Stacy Jo Kennedy is a Family Nurse Practitioner based in Rock Springs, WY and is specialized in Family. Stacy Jo Kennedy practices in Evanston, WY and has the professional credentials of FNP-BC. The NPI Number for Stacy Jo Kennedy is 1669947610 and holds a License No. 30260.1816 (Wyoming).

The current practice location address for Stacy Jo Kennedy is 191 Overthrust Rd, Evanston, WY and can be reached out via phone at 307-789-8721.

Location: 191 Overthrust Rd, Evanston, WY, 82901-3148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669947610
Provider Name
Stacy Jo Kennedy
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
191 Overthrust Rd, Evanston, WY, 82901-3148
Phone Number
307-789-8721
Fax Number
Provider Enumeration Date
10/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
191 Overthrust Rd
City
Evanston
State
Wyoming
Zip
82930-9261
Phone Number
307-789-8721
Fax Number
person
Provider Business Mailing Address Details
Address
191 Overthrust Rd
City
Evanston
State
Wyoming
Zip
82930-9261
Phone Number
307-789-8721
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
30260.1816 (Wyoming)
Definition
Definition to come...
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