Individual provider · Type 1 NPI
Stacey Jantzen, AGACNP-BC
Nurse Practitioner · Mansfield, TX
Practice location
2700 E Broad St
Mansfield, TX 76063-5899
Fax (682) 242-6445
Mailing address
816 W Cannon St
Fort Worth, TX 76104-3194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1017499 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 1017499 (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 1760056527
Stacey Jantzen, AGACNP-BC's National Provider Identifier is 1760056527, issued on May 17, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mansfield, TX. The record was last updated on Aug 9, 2021.