Individual
MRS. STACY MICHELLE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 717-7543
Mailing address
3300 S SIERRA LN, CAMP VERDE, AZ 86322-6313
(928) 420-9240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
286132
AZ
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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