Individual provider · Type 1 NPI
Stacy Jo Kennedy, FNP- BC
Family Nurse Practitioner · Rock Springs, WY
NPI number
1669947610
Active
Practice location
1453A Dewar Dr
Rock Springs, WY 82901-5812
Fax (888) 395-0359
Mailing address
249 Douglas Dr
Rock Springs, WY 82901-3148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 30260.1816 (WY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669947610
Stacy Jo Kennedy, FNP- BC's National Provider Identifier is 1669947610, issued on Oct 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rock Springs, WY. The record was last updated on Oct 1, 2024.