Stacy T Sullenberger
PNP | Nurse Practitioner - Pediatrics
915 Michigan St, Sidney
Ohio, 45365-2401
937-498-4488
Stacy T Sullenberger is a Sidney, Ohio based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Stacy T Sullenberger is APRN.CNP.14148 for Pediatrics in Ohio. Her current practice location is 915 Michigan St, Sidney. Patients can reach her at 937-498-4488. Stacy T Sullenberger is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1023355484.
Stacy T Sullenberger specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Stacy T Sullenberger speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stacy T Sullenberger |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP |
| Practice Address: | 915 Michigan St, Sidney,
Ohio, 45365-2401 |
| Phone: | 937-498-4488 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023355484 |
| NPI Enumeration Date: | 04 Jan, 2013 |
| NPI Last Update On: | 29 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy T Sullenberger are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.14148 | Pediatrics | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy T Sullenberger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0330291 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacy T Sullenberger
1 Childrens Plz,
Dayton, Ohio |
| Zip: | 45404-1815 |
| Phone Number: | 937-641-3555 |
Patients can reach Stacy T Sullenberger at
915 Michigan St, Sidney, Ohio or can
call to book an appointment on 937-498-4488.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.