Doctor Name: | STACI STOUGH |
NPI Number: | 1114396322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP128937 |
Business Practice Address: | 111 N Johnson St Farmersville, TX - 754422103 |
Business Phone Number: | 9727826131 |
Business Fax Number: | 9727827263 |
Mailing Address: | Po Box 1908, GREENVILLE |
State: | TX |
Postal Code: | 754031908 |
Phone Number: | 9034543025 |
Fax Number: | 9034501408 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP128937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |