Provider Demographics
NPI:1275196636
Name:MCGEE, STACY R (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:R
Last Name:MCGEE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 WADE RD SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9145
Mailing Address - Country:US
Mailing Address - Phone:757-395-7252
Mailing Address - Fax:
Practice Address - Street 1:929 WILLOWBROOK DR SE STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-3267
Practice Address - Country:US
Practice Address - Phone:256-489-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-20
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-35700163W00000X
AL1-135700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty