MEDICARE: STACEY M LADD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse	164666	NC

General Provider Information

NPI Number	:	1659233443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY M LADD RN

Provider Business Mailing Address
First Line	:	7144 VILLAGE MEDICAL CIR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8004
Country	:	US
Telephone Number	:	336-893-1437
Fax Number	:	336-893-1439

Provider Business Practice Location Address
First Line	:	7144 VILLAGE MEDICAL CIR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8004
Country	:	US
Telephone Number	:	336-893-1437
Fax Number	:	336-893-1439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1740142538 — RACHEL SCHMIDT RN
Practice Location Address:

7144 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-1436
Practice Fax: 336-893-1439

1922070747 — CAMILLA ELIZABETH HELTON PA
Practice Location Address:

7114 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2440
Practice Fax: 336-893-2470

1578511911 — DR. DAVID ETHAN LEE M.D.
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

1104066117 — MRS. JENNIFER NILAND KERLEY PA-C
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

1578889200 — RICHARD EDWIN HAIGLER MD
Practice Location Address:

7138 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2100
Practice Fax:

1801114343 — DR. JOSHUA COLE MCKINNON M.D.
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

Directions to “ STACEY M LADD RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.