Individual provider · Type 1 NPI

Stacy T. Sullenberger, PNP

Pediatric Nurse Practitioner · Sidney, OH

NPI number 1023355484 Active

Practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

PO Box 933421
Cleveland, OH 44193-0039

Other practice locations

  • 662 N Main St, Springboro, OH 45066-9553 · (937) 641-5066
  • 4475 Far Hills Ave, Kettering, OH 45429-2405 · (937) 641-3141
  • 3333 W Tech Rd, Miamisburg, OH 45342-0955 · (937) 641-5725
  • 7787 Cox Ln, West Chester, OH 45069-6549 · (937) 641-5757
  • 1711 Germantown Pike, Dayton, OH 45417 · (937) 641-3142
  • 792 Northwoods Blvd, Vandalia, OH 45377-9462 · (937) 641-4236
  • 1 Childrens Plz, Dayton, OH 45404-1815 · (937) 641-4000
  • 3301 Dayton Xenia Rd Ste 200, Beavercreek, OH 45432-2759 · (937) 641-5098
  • 8501 Old Troy Pike, Huber Heights, OH 45424-1054 · (937) 641-4360

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN.CNP.14148 (OH)

Pediatric Nurse Practitioner: Definition to come...

55 other providers at this address

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About NPI 1023355484

Stacy T. Sullenberger, PNP's National Provider Identifier is 1023355484, issued on Jan 4, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sidney, OH. The record was last updated on May 29, 2026.