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

Stacy Bodine

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639534399

Stacy Bodine is a Student in an Organized Health Care Education/Training Program in Lawrenceville, New Jersey. Works from 2 locations. Licensed in Florida and New Jersey.

Licensed in
FL, NJ
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3401 Princeton Pike
Lawrenceville, NJ 08648-1205
Phone: (609) 203-1642
Show map & directions

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

Additional practice locations (1)

  • 111 Lake Hollingsworth Dr, Lakeland, FL 33801 — (909) 206-3717

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00312000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1639534399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2015
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address38 Revolution Way Apt 112, Ewing, NJ 08628-1940

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