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

Stacey C Bohm, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1508484031

Stacey C Bohm, AGACNP-BC is an Acute Care Nurse Practitioner in Statesville, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2020.

Licensed in
NC, VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1661 Davie Ave
Statesville, NC 28677-3519
Phone: (704) 495-2470
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5013293 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0024179203 (VA)

Record details

NPI number1508484031
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021

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