Individual provider · Type 1 NPI

Stacey Brock

Acute Care Nurse Practitioner · Fairfield, OH

NPI number 1285370296 Active

Practice location

3050 Mack Rd Ste 300
Fairfield, OH 45014-5376

Fax (513) 751-1848

Mailing address

3984 Rosewood Drive
Amelia, OH 45102

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0028636 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1285370296

Stacey Brock's National Provider Identifier is 1285370296, issued on May 11, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fairfield, OH. The record was last updated on Jun 22, 2023.