Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie C Stacy

Individual provider Licensed Practical Nurse · NPI 1013206374

Charlie C Stacy is a Licensed Practical Nurse in Rootstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2011

Practice location Address checks out

4014 Bower Rd
Rootstown, OH 44272-9231
Phone: (330) 325-7636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN 142404 (OH)

Record details

NPI number1013206374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011
Mailing address4014 Bower Rd, Rootstown, OH 44272-9231

Other providers in Rootstown