Stacy Lee Taylor, RN
Registered Nurse in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1669995155
StatusActive
Last updated in NPPESJul 17, 2017
Details
- NPI
- 1669995155
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stacy Lee Taylor
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2017
- Last updated
- Jul 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2011021213 | MO | Yes |
| 163WG0000X | Registered Nurse, General Practice | 2011021213 | MO | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 2011021213 | MO |
Practice location
3100 Oak Grove RdPoplar Bluff, MO 63901-1573
Phone 573-776-2000
Mailing address
2502 Fox DrPoplar Bluff, MO 63901-2102
Phone 573-300-8115
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All 33 Registered Nurse providers in Poplar Bluff · All 1,814 providers in Poplar Bluff
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