MRS. STACY E SHEPPARD PMHNP NPI 1669725792

NPI Information

  • NPI: 1669725792
  • Provider Name: MRS. STACY E SHEPPARD, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 HARBOUR WAY
    MILTON, WV
    ZIP 25541
  • Phone: (304) 781-5050

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NPI Details

MRS. Stacy E Sheppard, PMHNP is a psychiatric/mental health nurse practitioner in Milton, WV with 14 years of experience. MRS. Stacy E Sheppard, PMHNP NPI is 1669725792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1 HARBOUR WAY
MILTON, WV
ZIP 25541-545
Phone: (304) 781-5050
Fax: (304) 781-5051

The NPI 1669725792 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 7/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health2012016535TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health64577WEST VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN64577WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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