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

Stacie L Housholder, FNP-C

Individual provider Nurse Practitioner · NPI 1326394891

Stacie L Housholder, FNP-C is a Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3909 New Vision Dr
Fort Wayne, IN 46845-1725
Phone: (260) 469-6602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71004055A (IN)

Record details

NPI number1326394891
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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