Individual provider · Type 1 NPI
Stacy Rose Frederick, APRN, FNP-BC
Family Nurse Practitioner · Lexington, KY
NPI number
1104250893
Active
Practice location
2400 Greatstone Pt Ste A100
Lexington, KY 40504-3274
Fax (859) 257-6768
Mailing address
2312 Alexandria Dr
Lexington, KY 40504-3229
Other practice locations
- 2407 Members Way, Lexington, KY 40504-3383 · (859) 278-4869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3008265 (KY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- Julie Abney, APRNFamily Nurse Practitioner Lexington, KY NPI 1013201045
- Kayla Thurgood, APRNFamily Nurse Practitioner Lexington, KY NPI 1013363399
About NPI 1104250893
Stacy Rose Frederick, APRN, FNP-BC's National Provider Identifier is 1104250893, issued on Aug 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lexington, KY. The record was last updated on Feb 12, 2025.