Individual provider · Type 1 NPI

Stephanie Dawn Ice, FNP-BC

Nurse Practitioner · Bridgeport, WV

NPI number 1609391903 Active

Practice location

227 Medical Park Dr Ste 103
Bridgeport, WV 26330-9038

Mailing address

PO Box 952
Barrackville, WV 26559-0952

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN75904-FNP-BC (WV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609391903

Stephanie Dawn Ice, FNP-BC's National Provider Identifier is 1609391903, issued on Aug 8, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeport, WV. The record was last updated on Apr 5, 2022.