Individual provider · Type 1 NPI

Stacy Dawn Allport-Pridemore, FNP BC

Nurse Practitioner · South Charleston, WV

NPI number 1649872425 Active

Practice location

332 6th Ave
South Charleston, WV 25303-1246

Call (304) 343-1950 Map

Fax (866) 225-4179

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X107640 (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 1649872425

Stacy Dawn Allport-Pridemore, FNP BC's National Provider Identifier is 1649872425, issued on Nov 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Charleston, WV. The record was last updated on Nov 19, 2020.