Individual
STACY LYNETTE TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6583
(417) 269-6573
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2017028746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420045842
—
MO
Enumeration date
08/14/2017
Last updated
01/23/2026
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