Individual provider · Type 1 NPI
Stacie Lynne Ebersold, MSN, NP-C
Family Nurse Practitioner · Philadelphia, PA
NPI number
1750943155
Active
Practice location
100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Other practice locations
- 680 Blair Mill Rd, Horsham, PA 19044-2223 · (717) 577-9592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11041685 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | SP020581 (PA) |
| Family Nurse Practitioner | 363LF0000X | 41288 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750943155
Stacie Lynne Ebersold, MSN, NP-C's National Provider Identifier is 1750943155, issued on Jul 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on May 11, 2026.