Stacey Lynn Wilson, FNP-BC is a
Nurse Practitioner - Family based in Wesley, Arkansas. Stacey Lynn Wilson is licensed to practice in Arkansas (license number 2017006269) and her current practice location is
226 Madison 7875, Wesley, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 790-9308.
NPI number for Stacey Lynn Wilson is 1760911176 and her current mailing address is 226 Madison 7875, Wesley, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760911176.
Provider's Profile
Full Name | Stacey Lynn Wilson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 226 Madison 7875, Wesley, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760911176
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Stacey Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760911176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2017006269 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Lynn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacey Lynn Wilson, FNP-BC 226 Madison 7875, Wesley, AR 72773-8615 Ph: (479) 790-9308 | Stacey Lynn Wilson, FNP-BC 226 Madison 7875, Wesley, AR 72773 Ph: (479) 790-9308 |
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