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STACIE BOWEN APRN-CNP
NPI 1124636576
Nurse Practitioner - Family in Charleston, WV

Active since July 21, 2020
4307 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 205-6123 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacie Bowen Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE BOWEN APRN-CNP (NPI 1124636576) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (106970) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1124636576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIE BOWENCredential: APRN-CNP
Location Address4307 MACCORKLE AVE SECharleston, WV 25304-2500
Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 205-6123
Phone(304) 205-6123
Sole ProprietorNo
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1124636576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 106970
4307 MACCORKLE AVE SE, Charleston, WV 25304
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARI STOVER NP-C
Nurse Practitioner
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 205-6123
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Dentist (Oral and Maxillofacial Surgery)
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 345-1092
KENNY NGUYEN DDS
Dentist (Oral and Maxillofacial Surgery)
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 720-7819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Bowen's NPI number?

The NPI number for Stacie Bowen is 1124636576. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Stacie Bowen located?

Stacie Bowen practices at 4307 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 205-6123.

What is Stacie Bowen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacie Bowen was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.