STACEY SHORES NPI 1659980951

NPI Information

  • NPI: 1659980951
  • Provider Name: STACEY SHORES
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 900 E LAHARPE ST
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (636) 224-1210

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NPI Details

Stacey Shores is a licensed practical nurse in Kirksville, MO. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Stacey Shores NPI is 1659980951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 E LAHARPE ST
KIRKSVILLE, MO
ZIP 63501-520
Phone: (636) 224-1210

The enumeration date for this NPI number is 7/23/2020 and was last updated on 7/23/2020.

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
1164W00000XLicensed Practical Nurse2009022767MISSOURIYes

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: 11/21/2025

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