Provider Demographics
NPI:1447069471
Name:LACY, AIMEE TURNER (FNP-BC)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:TURNER
Last Name:LACY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 AUBURN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25169-9350
Mailing Address - Country:US
Mailing Address - Phone:304-541-1288
Mailing Address - Fax:
Practice Address - Street 1:333 LAIDLEY ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1614
Practice Address - Country:US
Practice Address - Phone:304-347-6530
Practice Address - Fax:304-414-7449
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV121782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily