Healthcare Provider Details

I. General information

NPI: 1851906101
Provider Name (Legal Business Name): STEPHANIE MARIE CAIN DNP, APRN, AG-ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE M BAGGETT RN

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 WYOMING ST
DAYTON OH
45409-2731
US

IV. Provider business mailing address

829 CRITTENDEN BLVD
MARION AR
72364-9626
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-8777
  • Fax:
Mailing address:
  • Phone: 901-581-0386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11046001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number28069
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: