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Pamela Renee Stacy, ACNP
Family Nurse Practitioner in Tyler, Texas
NPI 1821367327

Pamela Renee Stacy is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Pamela Renee Stacy practices in Tyler, TX and has the professional credentials of ACNP. The NPI Number for Pamela Renee Stacy is 1821367327 and holds a License No. AP121213 (Texas).

The current practice location address for Pamela Renee Stacy is 8288 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-606-7060. You can also correspond with Pamela Renee Stacy through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6450).

Location: 8288 S Broadway Ave, Tyler, TX, 75284-6098
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Provider Profile Details
NPI Number
1821367327
Provider Name
Pamela Renee Stacy
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
8288 S Broadway Ave, Tyler, TX, 75284-6098
Phone Number
903-606-7060
Fax Number
Provider Enumeration Date
12/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2616977-118 01 TX TRICARE
293825001 05 TX
75-2616977-007 01 TX TRICARE
867N10 01 TX BCBS
75-2616977-066 01 TX TRICARE
752616977042 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
8288 S Broadway Ave
City
State
Zip
75703-5262
Phone Number
903-606-7060
Fax Number
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Provider Business Mailing Address Details
Address
Po Box 846098
City
State
Zip
75284-6098
Phone Number
903-324-6450
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
729458 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP121213 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP121213 (Texas)
Definition
Definition to come...
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