Individual provider · Type 1 NPI

Stacey Lynn Matheny, APRN, MSN

Nurse Practitioner · Tyler, TX

NPI number 1457066607 Active

Practice location

910 E Houston St
Tyler, TX 75702-8369

Call (903) 606-8718 Map

Mailing address

910 E Houston St Ste 100
Tyler, TX 75702-8363

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1022832 (TX)
Nurse Practitioner Primary 363L00000X1022832 (TX)

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 1457066607

Stacey Lynn Matheny, APRN, MSN's National Provider Identifier is 1457066607, issued on Jan 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Oct 20, 2026.