STACEY LYNN HOLDER CNP NPI 1689322026

NPI Information

  • NPI: 1689322026
  • Provider Name: STACEY LYNN HOLDER, CNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 ALLENTOWN RD
    LIMA, OH
    ZIP 45805
  • Phone: (614) 795-0311

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NPI Details

Stacey Lynn Holder, CNP is a psychiatric/mental health nurse practitioner in Lima, OH with 4 years of experience. Stacey Lynn Holder, CNP NPI is 1689322026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 ALLENTOWN RD
LIMA, OH
ZIP 45805-873
Phone: (614) 795-0311

The NPI 1689322026 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 3/15/2022 and was last updated on 12/7/2022.

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
1163W00000XRegistered NurseRN355876ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP0032773OHIOYes

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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