Individual provider · Type 1 NPI

Amanda Stagg

Psychiatric/Mental Health Nurse Practitioner · Lexington, KY

NPI number 1891561585 Active

Practice location

828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659

Mailing address

5221 Oak Grove Rd
Evansville, IN 47715-2342

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28236174A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4015968 (KY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1891561585

Amanda Stagg's National Provider Identifier is 1891561585, issued on Dec 4, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lexington, KY. The record was last updated on Feb 28, 2024.