Stacey L Flynn, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F095209 Issued in IA

Practice address

5350 Eastern Ave.
Davenport, IA 52807-2709

Phone

(563) 355-1853

Fax

(563) 359-1512

NPI assigned

Mar 9, 2006

Last updated

Oct 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1699743492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE.",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE.",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F095209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Jane Ford, RN

• Women's Health Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Women's Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.