Mrs Stacy Marie Fairley, ACNP - Nurse Practitioner in San Jose, CA

Mrs Stacy Marie Fairley, ACNP is a Nurse Practitioner - Acute Care based in San Jose, California. Mrs Stacy Marie Fairley is licensed to practice in California (license number 21687) and her current practice location is 250 Hospital Pkwy, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 972-7000.

NPI number for Mrs Stacy Marie Fairley is 1255673703 and her current mailing address is 250 Hospital Pkwy, San Jose, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255673703.

Contact Information

Mrs Stacy Marie Fairley, ACNP
250 Hospital Pkwy,
San Jose, CA 95119-1103
(408) 972-7000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Stacy Marie Fairley
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location250 Hospital Pkwy, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255673703
  • Provider Enumeration Date: 03/22/2013
  • Last Update Date: 03/22/2013

Medical Identifiers

Medical identifiers for Mrs Stacy Marie Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255673703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 21687 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy Marie Fairley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stacy Marie Fairley, ACNP
250 Hospital Pkwy,
San Jose, CA 95119-1103

Ph: () -
Mrs Stacy Marie Fairley, ACNP
250 Hospital Pkwy,
San Jose, CA 95119-1103

Ph: (408) 972-7000

Reviews and Comments


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