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STACY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 W 5TH ST STE 2C30L, ODESSA, TX 79763-4206
(432) 620-1041
Mailing address
1045 RIVER RANCH DR, BANDERA, TX 78003-4879
(318) 780-0423

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1051113
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
1051113
TX

Other

Enumeration date
06/19/2023
Last updated
02/28/2025
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