Healthcare Provider Details

I. General information

NPI: 1811855141
Provider Name (Legal Business Name): STEPHANIE R HANCOCK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 NORTHAMPTON ST
EASTHAMPTON MA
01027-1046
US

IV. Provider business mailing address

238 NORTHAMPTON ST
EASTHAMPTON MA
01027-1046
US

V. Phone/Fax

Practice location:
  • Phone: 413-529-9300
  • Fax: 866-644-0870
Mailing address:
  • Phone: 413-529-9300
  • Fax: 866-644-0870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2307551
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: