Individual provider · Type 1 NPI

Pamela Renee Stacy, ACNP

Family Nurse Practitioner · Tyler, TX

NPI number 1821367327 Active

Practice location

8288 S Broadway Ave
Tyler, TX 75703-5262

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

  • 520 Douglas Blvd, Tyler, TX 75702-8307 · (903) 593-1721
  • 5321 S FM 14, Hawkins, TX 75765-4839 · (903) 769-2990

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP121213 (TX)
Acute Care Nurse Practitioner 363LA2100XAP121213 (TX)
Acute Care Nurse Practitioner 363LA2100X729458 (TX)
Family Nurse Practitioner Primary 363LF0000XAP121213 (TX)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1821367327

Pamela Renee Stacy, ACNP's National Provider Identifier is 1821367327, issued on Dec 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Oct 28, 2022.