Provider Demographics
NPI:1750034831
Name:BAILEY, STACEY BETH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:BETH
Last Name:BAILEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LITTLE LONG MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HUNTLY
Mailing Address - State:VA
Mailing Address - Zip Code:22640-3116
Mailing Address - Country:US
Mailing Address - Phone:540-635-9296
Mailing Address - Fax:
Practice Address - Street 1:351 VALLEY HEALTH WAY STE 300
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6480
Practice Address - Country:US
Practice Address - Phone:540-631-3700
Practice Address - Fax:540-635-1673
Is Sole Proprietor?:No
Enumeration Date:2022-01-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182373363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner