Individual
STACY LAINE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1809 CAPITAL DR, TYLER, TX 75701-8438
(903) 509-4499
(903) 509-4490
Mailing address
13261 S HILLCREEK RD, WHITEHOUSE, TX 75791-5215
(903) 571-8545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP125238
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
601016
TX
Other
Enumeration date
02/26/2014
Last updated
05/24/2023
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