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

Mr. Shawn Henry Stacy, LPN

Individual provider Licensed Practical Nurse · NPI 1568784627

Mr. Shawn Henry Stacy, LPN is a Licensed Practical Nurse in Beavercreek, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2010
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

1213 Fudge Dr
Beavercreek, OH 45434-6720
Phone: (937) 431-8861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN. 131419 (OH)

Record details

NPI number1568784627
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 17, 2010
Last updated in NPPESFebruary 17, 2010

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