Individual provider · Type 1 NPI
Mary Jaeger Stacy, FNP
Family Nurse Practitioner · Manchester Center, VT
NPI number
1790741072
Active
Practice location
5957 Main St, Northshire Medical Center
Manchester Center, VT 05255-8913
Fax (802) 362-7146
Mailing address
5957 Main Street, Northshire Medical Center
Manchester, VT 05255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 101-0019775 (VT) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Southwestern Vermont Medical Center IncOrthopaedic Surgery Physician Manchester Center, VT NPI 1245479088
- Carlie Michelle Felion, FNP, PMHNPFamily Nurse Practitioner Manchester Center, VT NPI 1194153593
- Lia B. Braico, FNP-BCFamily Nurse Practitioner Manchester Center, VT NPI 1336692722
- Natacha I. Jager, MDFamily Medicine Physician Manchester Center, VT NPI 1053344655
- Robert Schwartz, MDFamily Medicine Physician Manchester Center, VT NPI 1851316277
Other family nurse practitioner providers in Manchester Center
About NPI 1790741072
Mary Jaeger Stacy, FNP's National Provider Identifier is 1790741072, issued on Apr 25, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manchester Center, VT. The record was last updated on Jan 13, 2014.