Individual
MELISSA NICKELS STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
3 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2000
(276) 322-6900
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840809
VA
363AM0700X
Medical Physician Assistant
0110840809
VA
Other
Enumeration date
10/04/2006
Last updated
11/10/2025
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