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Individual
STACY BICKETT
Active
Individual
STACY BICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.15324
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094020
—
OH
Enumeration date
11/13/2013
Last updated
04/10/2024
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