Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Jo Stack, APRN-FNP-BC

Individual provider Family Nurse Practitioner · NPI 1235788845

Sandra Jo Stack, APRN-FNP-BC is a Nurse Practitioner in Beckley, West Virginia. Qualified in 2019, 7 years ago. Practices with Appalachian Regional Healthcare Inc, a 293-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2019
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Practice location Address checks out

250 Stanaford Rd
Beckley, WV 25801-3140
Phone: (304) 255-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 104460 (WV)

Record details

NPI number1235788845
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address250 Stanaford Rd Ste 106, Beckley, WV 25801-3140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Appalachian Regional Healthcare Inc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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