Provider Demographics
NPI:1891396586
Name:READY, STACEY LYNNE (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:LYNNE
Last Name:READY
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 JANE LN
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691-1013
Mailing Address - Country:US
Mailing Address - Phone:254-214-2617
Mailing Address - Fax:
Practice Address - Street 1:1401 JANE LN
Practice Address - Street 2:
Practice Address - City:WEST
Practice Address - State:TX
Practice Address - Zip Code:76691-1013
Practice Address - Country:US
Practice Address - Phone:254-580-8811
Practice Address - Fax:254-296-8614
Is Sole Proprietor?:No
Enumeration Date:2020-11-08
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily