Individual provider · Type 1 NPI

Stacey Farrell, CNP

Family Medicine Physician · Destin, FL

NPI number 1154763514 Active

Practice location

4477 Legendary Dr Ste 201
Destin, FL 32541-5332

Mailing address

411 Fulton St
Greenwood, MS 38930-4314

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR855653 (MS)
Family Medicine Physician Primary 207Q00000X11016785 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1154763514

Stacey Farrell, CNP's National Provider Identifier is 1154763514, issued on Jul 25, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Destin, FL. The record was last updated on May 10, 2025.