STACEY ANN POOLE DNP RN PMHNP-BC NPI 1366065104

NPI Information

NPI: 1366065104
Provider Name: STACEY ANN POOLE, DNP, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
521 RISEN STAR DR
CRESTVIEW, FL
ZIP 32539
Phone: (480) 608-5157
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Stacey Ann Poole, DNP, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Crestview, FL. Stacey Ann Poole, DNP, RN, PMHNP-BC NPI is 1366065104. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

521 RISEN STAR DR
CRESTVIEW, FL
ZIP 32539-071
Phone: (480) 608-5157

The enumeration date for this NPI number is 5/27/2020 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN9559718	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	245674	ARIZONA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP145602	TEXAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11012113	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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