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

Stacy Wade, NP

Individual provider Nurse Practitioner · NPI 1770742462

Stacy Wade, NP is a Nurse Practitioner in Fort Myers, Florida. Works from 2 locations. Licensed in Florida and Indiana.

Licensed in
FL, IN
In the registry since
2008
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2780 Cleveland Ave Ste 819
Fort Myers, FL 33901-5817
Phone: (239) 343-3800
Fax: (239) 343-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143 — (317) 884-5200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11012868 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 28150715A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71002094A (IN)

Record details

NPI number1770742462
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 6, 2008
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

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