STACI J. BORIS FNP – NPI #1386001154
Nurse Practitioner

STACI BORIS is a nurse practitioner located in APPLETON, WI. NPPES has assigned the NPI number 1386001154 to STACI BORIS on January 25, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name STACI J DOUCETTE. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 6 years ago on Oct 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACI BORIS below.

NPI Profile for
STACI J. BORIS

NPI Number
1386001154
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACI J. BORIS
Former Name: STACI J DOUCETTE
Credentials
FNP
Primary location
2500 E CAPITOL DR
APPLETON, WI 54911-8735
Phone: (866) 455-8111 Fax: (920) 883-0491
Mailing address
3 NEENAH CTR
NEENAH, WI 54956-3070
Phone: (920) 454-4229 Fax: (920) 993-5001
Sole Proprietor
No
Updated
Certification Date
Oct 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
MI 4704210616

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.