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STACY NIXON LPN
NPI 1962966564
Licensed Practical Nurse in Jennings, LA

Active since January 28, 2019
1615 JOHNSON ST STE C, JENNINGS, LA 70546(337) 616-0225 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Nixon Lpn NPPES

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

STACY NIXON LPN (NPI 1962966564) is an individual licensed practical nurse in Jennings, Louisiana, licensed in Louisiana (20150338) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1962966564
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACY NIXONCredential: LPN
Location Address1615 JOHNSON ST STE CJennings, LA 70546-3650
Mailing Address1615 Johnson St Ste CJennings, LA 70546-3650
Phone(337) 616-0225
Sole ProprietorYes
Enumeration DateJanuary 28, 2019
✔ NPI 1962966564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in LA · 20150338
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1615 JOHNSON ST STE C, Jennings, LA 70546
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Other Identifiers 1

Medicaid20150338LA

Other Providers at the Same Location NPPES 20

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

VIA BATISTE MHS
Social Worker
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
ANGELA DAVIS MHS
Case Manager/Care Coordinator
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
MRS. CARLA N BOUDREAUX LPC-S
Counselor (Professional)
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
SHELLY LEWIS MHS
Case Manager/Care Coordinator
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
MS. LANORE SPAIN M.ED. LPC
Counselor (Mental Health)
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
TIFFANY NASH MHS
Counselor (Mental Health)
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
CHARLES BRADLEY MHS
Case Manager/Care Coordinator
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225
CRYSTAL HUDKINS
Case Manager/Care Coordinator
1615 JOHNSON ST STE C
JENNINGS, LA 70546
Jefferson Davis Parish (337) 616-0225

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 Stacy Nixon's NPI number?

The NPI number for Stacy Nixon is 1962966564. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Stacy Nixon located?

Stacy Nixon practices at 1615 Johnson St Ste C, Jennings, LA 70546. The listed phone number is (337) 616-0225.

What is Stacy Nixon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacy Nixon was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.