National Provider Identifier

Stacey Lynn Abbott, NP

Stacey Lynn Abbott, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 368-4006.

NPI 1427563071Rochester, NYPediatric Nurse Practitioner

Profile Overview

NPI
1427563071
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
December 05, 2017
Last Updated
April 15, 2019

Practice Location

  • 1555 Long Pond RD
  • Rochester, NY 14626-4122

Phone: (585) 368-4006

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1427563071
Entity Type
Individual
Last Name
Abbott
First Name
Stacey
Middle Name
Lynn
Credential
NP
Provider Other Last Name
Fox
Provider Other First Name
Stacey
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-0553
Practice Street Address
1555 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 368-4006
Practice Fax
(585) 368-4009
Enumeration Date
December 05, 2017
Last Updated
April 15, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X)
Other Identifiers
05028973 (NY)