STACY L JUSTICE FNP-BC NPI 1699076547

NPI Information

  • NPI: 1699076547
  • Provider Name: STACY L JUSTICE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 557 MAIN ST
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 752-3435

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NPI Details

Stacy L Justice, FNP-BC is a family nurse practitioner in Logan, WV with 16 years of experience. Stacy L Justice, FNP-BC NPI is 1699076547. 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:

557 MAIN ST
LOGAN, WV
ZIP 25601-809
Phone: (304) 752-3435

The NPI 1699076547 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of alcohol level in breath specimen (HCPCS:82075)

The enumeration date for this NPI number is 11/9/2010 and was last updated on 1/17/2018.

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
1363L00000XNurse Practitioner62349WEST VIRGINIANo
2363LF0000XNurse PractitionerFamily62349WEST 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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