Individual provider · Type 1 NPI

Stacey Rene Cole, NNP

Neonatal Nurse Practitioner · Tyler, TX

NPI number 1083981021 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

628 S Ripple Creek Dr
Houston, TX 77057-1074

Other practice locations

  • 710 Cypress Creek Pkwy, Houston, TX 77090-3402 · (940) 300-3201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP121002 (TX)
Neonatal Nurse Practitioner Primary 363LN0000XAP121002 (TX)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1083981021

Stacey Rene Cole, NNP's National Provider Identifier is 1083981021, issued on Nov 18, 2011. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Tyler, TX. The record was last updated on Sep 3, 2026.