STACEY DIANE STARK

POPLAR BLUFF, MO
NPI1104704477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2025038960)
Enumeration Date2025-08-25
Last Update Date2025-09-15
Business Address
STACEY DIANE STARK FNP
2340 KATY LN
POPLAR BLUFF, MO 63901-2300
Phone number: 573-290-3293
Mailing Address
STACEY DIANE STARK FNP
190 MERLIN DR
POPLAR BLUFF, MO 63901-8374
Phone number: 573-718-9831
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