Individual
STACEY MICHELLE MOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS FNP PMHNP
Contact information
Practice address
200 EAST CAMPUSVIEW BLVD SUITE 200, COLUMBUS, OH 43235
(614) 664-8880
Mailing address
7385 STATE ROUTE 3 # 1050, WESTERVILLE, OH 43082-8654
(614) 664-8880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
327159
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.020975
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
020975
OH
Other
Enumeration date
12/13/2008
Last updated
03/01/2022
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