Individual
MS. STACEY LYNN CHALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
8911 N CAPITAL OF TEXAS HWY STE 110, AUSTIN, TX 78759-7247
(877) 279-5960
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 110, AUSTIN, TX 78759-7247
(877) 279-5960
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11118
MN
Other
Enumeration date
12/19/2023
Last updated
04/12/2025
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