| Doctor Name: | STACEY FLETCHER |
| NPI Number: | 1043542673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 775339 |
| Business Practice Address: | 2055 Hospital Drive Suite 130 Batavia, OH - 451031978 |
| Business Phone Number: | 5137320870 |
| Business Fax Number: | 5137320873 |
| Mailing Address: | 5400 Dupont Circle, Suite A MILFORD |
| State: | OH |
| Postal Code: | 451502270 |
| Phone Number: | 5135767700 |
| Fax Number: | 5135761020 |
| NPI Enumeration Date: | 02/07/2010 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 775339 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |