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

Mrs. Stacy Dawn Allport-Pridemore, FNPBC

Individual provider Nurse Practitioner · NPI 1649872425

Mrs. Stacy Dawn Allport-Pridemore, FNPBC is a Nurse Practitioner in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020

Practice location Address checks out

332 6th Ave
South Charleston, WV 25303-1246
Phone: (304) 343-1950
Fax: (866) 225-4179
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 107640 (WV)

Record details

NPI number1649872425
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPBC
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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