Provider Demographics
NPI:1346961745
Name:DUFFY, JACEY M (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JACEY
Middle Name:M
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MACKEY AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1697
Mailing Address - Country:US
Mailing Address - Phone:740-633-4440
Mailing Address - Fax:740-633-4141
Practice Address - Street 1:500 MACKEY AVE
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1697
Practice Address - Country:US
Practice Address - Phone:740-633-4440
Practice Address - Fax:740-633-4141
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031369363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health