# HELENE R STACY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093069619
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 209014748 | IL | — |
| 363LP0200X | Pediatric Nurse Practitioner | 5177 | WI | Yes |

## Other

- **Enumeration date:** 11/05/2012
- **Last updated:** 07/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1093069619 | — | WI |