Colby Andrew Stack, NP

Nurse Practitioner · Sullivan, MO

Individual Active NPI

NPI number 1386414878

Practice location

751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone
(573) 468-4186

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NPI record

NPI
1386414878
Entity type
Individual (Type 1)
Enumeration date
January 4, 2024
Last updated
September 19, 2025
Certified
September 19, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2024000101 MO
Acute Care Nurse Practitioner 363LA2100X 2024000101 MO

Mailing address

660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Phone
(618) 463-8500

About Colby Stack

Colby Andrew Stack, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 751 Sappington Bridge Rd, Sullivan, MO 63080-2354. The NPI number 1386414878 was assigned on January 4, 2024 and the record was last updated on September 19, 2025.

Colby Stack lists 2 licenses in the registry: #2024000101 (MO) for Nurse Practitioner; #2024000101 (MO) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Colby Andrew Stack, NP?

The NPI number is 1386414878.

What is the phone number of Colby Stack?

The phone number listed for the practice location is (573) 468-4186.

Where is Colby Stack located?

751 Sappington Bridge Rd, Sullivan, MO 63080-2354.

What is the taxonomy code for Colby Stack?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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