Individual provider · Type 1 NPI
Stacy Parker
Neonatal Nurse Practitioner · Odessa, TX
NPI number
1124703186
Active
Practice location
701 W 5th St Ste 2C30L
Odessa, TX 79763-4206
Mailing address
1045 River Ranch Dr
Bandera, TX 78003-4879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 1051113 (TX) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 1051113 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1124703186
Stacy Parker's National Provider Identifier is 1124703186, issued on Jun 19, 2023. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Odessa, TX. The record was last updated on Feb 28, 2025.