Individual
STACY D BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
155 BRICKLAYER ST, OLIVE HILL, KY 41164
(606) 286-4152
(606) 286-2385
Mailing address
PO BOX 1268, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008648
KY
363LF0000X
Family Nurse Practitioner
3008648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100332500
—
KY
Enumeration date
05/28/2014
Last updated
05/04/2017
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