| Mrs Stacey Michelle Youngblood, APRN-CNP | |
|
1229 Old Ewing Rd, Lufkin, TX 75901-0729 | |
| (936) 240-9726 | |
| Not Available |
| Full Name | Mrs Stacey Michelle Youngblood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1229 Old Ewing Rd, Lufkin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114531902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1011393 (Texas) | Primary |
| Entity Name | Tmc Provider Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053784660 PECOS PAC ID: 6305149121 Enrollment ID: O20160127002626 |
| Entity Name | Texas Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730570581 PECOS PAC ID: 0749585396 Enrollment ID: O20160219001463 |
| Entity Name | Midsouth Transitions Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790262681 PECOS PAC ID: 8628322831 Enrollment ID: O20181106002557 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacey Michelle Youngblood, APRN-CNP 1229 Old Ewing Rd, Lufkin, TX 75901-0729 Ph: (936) 240-9726 | Mrs Stacey Michelle Youngblood, APRN-CNP 1229 Old Ewing Rd, Lufkin, TX 75901-0729 Ph: (936) 240-9726 |
Lanita Ann Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2206 N John Redditt Dr, Lufkin, TX 75904 Phone: 936-671-4300 Fax: 936-671-4321 | |
Carlie Rae Merritt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-699-5639 | |
Rebecca L Crawford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Stubblefield Dr, Lufkin, TX 75904 Phone: 936-404-9351 | |
Whitney Clark, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-3713 | |
Brandi Johnson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1717 Sayers St, Lufkin, TX 75904 Phone: 936-899-5368 | |
Robert H Doan Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 E Denman Ave, Lufkin, TX 75901 Phone: 936-639-1224 Fax: 936-639-1224 | |
Christina Michelle Evett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Christie Dr, Lufkin, TX 75904 Phone: 936-699-5433 |