Individual
STACY HOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
1933 UNIVERSITY AVE, SAN ANGELO, TX 76904-5133
(325) 658-6524
(325) 658-8895
Mailing address
1933 UNIVERSITY AVE, SAN ANGELO, TX 76904-5133
(325) 658-6524
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385085103
—
TX
01
—
732170
MEDICARE
TX
Enumeration date
10/24/2016
Last updated
05/31/2023
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