Individual provider · Type 1 NPI

Stacy Latham, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Poplar Bluff, MO

NPI number 1457998809 Active

Practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Fax (573) 778-4156

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2019045345 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1457998809

Stacy Latham, APRN, PMHNP-BC's National Provider Identifier is 1457998809, issued on Dec 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 21, 2025.