Tomlin, Stacy Lynette

Tomlin, Stacy Lynette is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Tomlin, Stacy Lynette can be contacted via phone (417) 269-6583.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 269-6583
Fax: (417) 269-6573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2017028746 Missouri

Profile Details

NPI number 1912423781
LBN Legal business name Tomlin, Stacy Lynette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2017
Last updated Oct 24th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912423781 NPPES
Missouri MEDICAID 420045842

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