Provider Demographics
NPI:1184897837
Name:DUFFY, STACY ANN (RN,MSN,ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:ANN
Last Name:DUFFY
Suffix:
Gender:F
Credentials:RN,MSN,ANP-BC
Other - Prefix:MISS
Other - First Name:STACY
Other - Middle Name:ANN
Other - Last Name:SMUGALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,MSN,ANP-BC
Mailing Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Mailing Address - Street 2:MAIL STOP 90-59-360
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1003
Mailing Address - Country:US
Mailing Address - Phone:314-454-7177
Mailing Address - Fax:
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:MAIL STOP 90-59-360
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-454-7177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO138051363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner