Provider Demographics
NPI:1871379180
Name:FINNERTY, STACY VERONICA (DNP APN FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:VERONICA
Last Name:FINNERTY
Suffix:
Gender:F
Credentials:DNP APN FNP-BC
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:VERONICA
Other - Last Name:HUAMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 BOWERS ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3623
Mailing Address - Country:US
Mailing Address - Phone:862-218-3739
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01460200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner