Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie C Stacy

Individual provider Licensed Practical Nurse · NPI 1013206374

Charlie C Stacy is a Licensed Practical Nurse in Rootstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2011

Practice location Address checks out

4014 Bower Rd
Rootstown, OH 44272-9231
Phone: (330) 325-7636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN 142404 (OH)

Record details

NPI number1013206374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011

Other providers in Rootstown