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

Stacy L Justice, FNP-BC

Individual provider Nurse Practitioner · NPI 1699076547

Stacy L Justice, FNP-BC is a Nurse Practitioner in Logan, West Virginia. Qualified in 2010, 16 years ago. Practices with Ohio Valley Physicians Inc, a 129-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
16
Licensed in
WV
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

557 Main St
Logan, WV 25601-3809
Phone: (304) 752-3435
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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 62349 (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence 62349 (WV)

Record details

NPI number1699076547
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESJanuary 17, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ohio Valley Physicians Inc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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