Provider Demographics
NPI:1053719310
Name:TURNER, STACY LYNN (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 HIGHWAY 3444
Mailing Address - Street 2:STE 1
Mailing Address - City:ANNVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40402-8245
Mailing Address - Country:US
Mailing Address - Phone:859-623-5500
Mailing Address - Fax:859-625-5007
Practice Address - Street 1:78 HIGHWAY 3444
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:KY
Practice Address - Zip Code:40402-8245
Practice Address - Country:US
Practice Address - Phone:606-364-5162
Practice Address - Fax:606-364-3920
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1105492163W00000X
KY3009118363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100326810Medicaid
KYK185524Medicare PIN