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

Phyllis C Stackhouse, CRNP

Individual provider Registered Nurse · NPI 1215056718

Phyllis C Stackhouse, CRNP is a Registered Nurse in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

476 Rolling Ridge Dr Ste 101
State College, PA 16801-7639
Phone: (814) 689-4980
Fax: (814) 689-4990
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP-001330-D (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN-204012-L (PA)

Record details

NPI number1215056718
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESDecember 15, 2016
Mailing address476 Rolling Ridge Dr, Suite 101, State College, PA 16801-7639

Other providers in State College