Provider Demographics
NPI:1952801490
Name:HUNT, STACY DEYON (LVN)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:DEYON
Last Name:HUNT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9813 COUNTY ROAD 745
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-5176
Mailing Address - Country:US
Mailing Address - Phone:469-288-2673
Mailing Address - Fax:
Practice Address - Street 1:9813 COUNTY ROAD 745
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-5176
Practice Address - Country:US
Practice Address - Phone:469-288-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183802164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse