Individual
STACY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1145 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3117
(614) 293-8315
(614) 293-6935
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007953RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
01/26/2026
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