Stacey Lynn Wilson, ARNP | |
1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | |
(561) 366-4100 | |
(866) 326-5063 |
Full Name | Stacey Lynn Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1309 N Flagler Dr, West Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730582701 | NPI | - | NPPES |
110728200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP9310438 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN9310438 (Florida) | Primary |
Entity Name | Nerve Renewal Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538839832 PECOS PAC ID: 7416346507 Enrollment ID: O20211110003213 |
Entity Name | Nr Midwest City Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558063784 PECOS PAC ID: 9830554377 Enrollment ID: O20230504003259 |
Mailing Address | Practice Location Address |
---|---|
Stacey Lynn Wilson, ARNP Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Stacey Lynn Wilson, ARNP 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 Ph: (561) 366-4100 |
Ms. Jounette Noel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Clematis St, West Palm Beach, FL 33401 Phone: 561-891-1379 | |
Natalie Bales, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 N Dixie Hwy Ste 104b, West Palm Beach, FL 33401 Phone: 561-790-8629 Fax: 561-721-8605 | |
Lazaro Antonio Machado Sanchez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 Hill Dr Apt D, West Palm Beach, FL 33415 Phone: 786-399-9230 | |
Dr. Teresa A Kowalczyk-vitous, DNP.ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10155 Okeechobee Blvd, West Palm Beach, FL 33411 Phone: 561-204-2349 | |
Mr. George Nicholson Copeland, ARNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Arlington Rd, West Palm Beach, FL 33405 Phone: 561-582-9683 | |
Carla Fazio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Flagler Dr, West Palm Beach, FL 33401 Phone: 561-366-4100 Fax: 561-366-4189 | |
Mrs. Leticia Puentes Carrera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1621 Woods Bend Rd, West Palm Beach, FL 33406 Phone: 561-598-3452 |