Individual provider · NPI-1

Stacey Lynn Abbott, NP

Nurse Practitioner, Pediatrics · Rochester, NY

NPI number1427563071
StatusActive
Last updated in NPPESApr 15, 2019

Details

NPI
1427563071
Entity type
Individual (NPI-1)
Name
Stacey Lynn Abbott
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2017
Last updated
Apr 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics382806NYYes

Other names

  • Stacey Fox (Former Name)

Practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Phone 585-368-4006 · Fax 585-368-4009

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Phone 585-922-0553

Other practice locations

1200 Driving Park Ave
Newark, NY 14513-1090

Phone 315-359-2660 · Fax 315-359-2635

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Pediatrics providers in Rochester, NY