Individual provider · Type 1 NPI
Lacy R. Stark, PA
Nurse Practitioner · Fort Worth, TX
Practice location
1307 8th Ave, Suite 608
Fort Worth, TX 76104-4140
Fax (817) 429-7783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP135511 (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 1922510205
Lacy R. Stark, PA's National Provider Identifier is 1922510205, issued on Oct 26, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 29, 2024.