location
search-icon
person
Mrs. Lacey R Prevallet, FNP-BC
Family Nurse Practitioner in Farmington, Missouri
NPI 1245782549

Lacey R Prevallet is a Family Nurse Practitioner based in Farmington, MO and is specialized in Family. Lacey R Prevallet practices in Farmington, MO and has the professional credentials of FNP-BC. The NPI Number for Lacey R Prevallet is 1245782549 and holds a License No. 2011032659 (Missouri).

The current practice location address for Lacey R Prevallet is 530 N Middle St, Farmington, MO and can be reached out via phone at 573-756-3000.

Location: 530 N Middle St, Farmington, MO, 63640-3336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245782549
Provider Name
Lacey R Prevallet
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
530 N Middle St, Farmington, MO, 63640-3336
Phone Number
573-756-3000
Fax Number
Provider Enumeration Date
11/03/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1245782549 05 MO
institution
Provider Business Practice Location Address Details
Address
530 N Middle St
City
Farmington
State
Missouri
Zip
63640-1570
Phone Number
573-756-3000
Fax Number
person
Provider Business Mailing Address Details
Address
530 N Middle St
City
Farmington
State
Missouri
Zip
63640-1570
Phone Number
573-756-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
2017002573 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2011032659 (Missouri)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.