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

Stacy Holley, FNP

Individual provider Family Nurse Practitioner · NPI 1144647652

Stacy Holley, FNP is a Nurse Practitioner in Grayson, Kentucky. Graduated from University of Cincinnati College of Medicine in 2012, 14 years ago. Practices with Main Street Medical Clinic, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
14
Trained at
University of Cincinnati College of Medicine
Licensed in
WV
In the registry since
2014
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

107 E Main St
Grayson, KY 41143-1301
Phone: (606) 474-0244
Fax: (606) 474-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 First Avenue, Huntington, WV 25702-1241 — (304) 399-7484

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 84657 (WV)

Record details

NPI number1144647652
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 21, 2014
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address107 E Main St, Grayson, KY 41143-1301

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Main Street Medical Clinic — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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