Individual provider · Type 1 NPI

Kenneth W. Stackhouse Jr., F.N.P.

Nurse Practitioner · Corpus Christi, TX

NPI number 1508092974 Active

Practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1804

Call (361) 902-4000 Map

Mailing address

1717 Main St, Suite 5200
Dallas, TX 75201-4612

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X607067 (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 1508092974

Kenneth W. Stackhouse Jr., F.N.P.'s National Provider Identifier is 1508092974, issued on May 29, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Corpus Christi, TX. The record was last updated on May 29, 2009.