Poole, Stacey Ann

Poole, Stacey Ann is an sole proprietor health care provider with primary practice located at 521 Risen Star Dr , Crestview FL 32539-6071. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Poole, Stacey Ann can be contacted via phone (480) 608-5157.

Contact Information

Primary practice address
521 Risen Star Dr Crestview FL 32539-6071
Phone: (480) 608-5157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9559718 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 245674 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP145602 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11012113 Florida

Profile Details

NPI number 1366065104
LBN Legal business name Poole, Stacey Ann
Credentials DNP, RN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2020
Last updated Feb 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers