Individual provider · Type 1 NPI

Stacey Nix, CFNP

Nurse Practitioner · Ellisville, MS

NPI number 1154598357 Active

Practice location

1203 Jefferson Street
Ellisville, MS 39437

Fax (601) 477-2236

Mailing address

PO Box 247
Laurel, MS 39441-0247

Other practice locations

  • 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 · (662) 256-9331

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR853221 (MS)
Nurse Practitioner Primary 363L00000XR853221 (MS)

Nurse Practitioner: (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 wit…

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About NPI 1154598357

Stacey Nix, CFNP's National Provider Identifier is 1154598357, issued on May 15, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ellisville, MS. The record was last updated on Oct 13, 2026.