NPI 1912077645 · live from the CMS NPI Registry
Stacie Leigh Beckett, PA
Physician Assistant in Williamson, WV. National Provider Identifier 1912077645, active.
NPI record
| NPI | 1912077645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 859 Alderson St, Williamson, WV 25661 |
| Practice phone | 304-235-2500 |
| Mailing address | Po Box 1878, Williamson, WV 25661 |
| Enumerated | November 9, 2006 |
| Last updated | August 27, 2008 |
| Sole proprietor | No |
| Other names | Stacie Fletcher |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | WV00960 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.