| Doctor Name: | STACY ANN HEAD |
| NPI Number: | 1174886329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 3007503 |
| Business Practice Address: | 185 State Route 271 S Lewisport, KY - 423516701 |
| Business Phone Number: | 2709279991 |
| Business Fax Number: | 2709279990 |
| Mailing Address: | 1200 Breckenridge St, OWENSBORO |
| State: | KY |
| Postal Code: | 423031089 |
| Phone Number: | 2706858230 |
| Fax Number: | 2706858233 |
| NPI Enumeration Date: | 06/22/2012 |
| NPI Last Update Date: | 06/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |