Provider Demographics
NPI:1124240742
Name:STUCKEY, FRANCES ANNE (MRC, CRC)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ANNE
Last Name:STUCKEY
Suffix:
Gender:F
Credentials:MRC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1079 PEGGY LANE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-1123
Mailing Address - Country:US
Mailing Address - Phone:937-383-0085
Mailing Address - Fax:937-382-3925
Practice Address - Street 1:5555 GLENDON COURT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:877-641-2010
Practice Address - Fax:614-760-3597
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL00010721171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator