Individual
STACEY REBECCA ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
784 MARSALIS DR, ABILENE, TX 79603-5519
(325) 669-5968
Mailing address
784 MARSALIS DR, ABILENE, TX 79603-5519
(325) 669-5968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP141347
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740743939
NPI
TX
01
—
AP141347
LICENSE NUMBER
TX
Enumeration date
04/13/2019
Last updated
01/12/2026
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