National Provider Identifier

Joan M. Stack, NP

Joan M. Stack, NP is listed in the NPPES registry with a primary specialty of School Nurse Practitioner in Rochester, NY and a listed phone number of (585) 288-1390.

NPI 1881765675Rochester, NYSchool Nurse Practitioner

Profile Overview

NPI
1881765675
Provider Type
Individual
Primary Specialty
School Nurse Practitioner
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 1801 E Main St
  • Rochester, NY 14609-7402

Phone: (585) 288-1390

Mailing Address

  • 51 Rock Beach RD
  • Rochester, NY 14617-1945

Specialties

  • School Nurse Practitioner (363LS0200X)
Full Record
NPI
1881765675
Entity Type
Individual
Last Name
Stack
First Name
Joan
Middle Name
M.
Name Prefix
MS.
Credential
NP
Mailing Street Address
51 Rock Beach RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-1945
Mailing Country
US
Practice Street Address
1801 E Main St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-7402
Practice Country
US
Practice Phone
(585) 288-1390
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Nurse Practitioner (363LS0200X)