Individual
MRS. STACEY DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4645 SAMUELL BLVD, DALLAS, TX 75228-6826
(214) 743-1200
Mailing address
1216 PARKVIEW TRL, GLENN HEIGHTS, TX 75154-8837
(214) 455-9640
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1074508
TX
Other
Enumeration date
05/12/2022
Last updated
12/08/2025
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