STACEY LYNN ROSE CNS
NPI 1194935924
Nurse Practitioner in Oklahoma City, OK

Q: What is Stacey Rose's NPI number?

The NPI number for Stacey Rose is 1194935924. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Stacey Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Rose was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2007

4200 W MEMORIAL RD, SUITE 708, OKLAHOMA CITY, OK 73120(405) 749-0210(405) 292-5505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stacey Lynn Rose Cns NPPES

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

STACEY LYNN ROSE CNS (NPI 1194935924) is an individual nurse practitioner in Oklahoma City, Oklahoma, licensed in Oklahoma (R0034330) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194935924

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY LYNN ROSECredential: CNS

Location Address4200 W MEMORIAL RD, SUITE 708Oklahoma City, OK 73120-9350

Mailing Address4200 W Memorial Rd, Suite 708Oklahoma City, OK 73120-9350 · (405) 749-0210 · Fax (405) 292-5505

Phone(405) 749-0210

Fax(405) 292-5505

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194935924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · R0034330

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4200 W MEMORIAL RD, Oklahoma City, OK 73120

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