| NPI | 1205262474 | 
|---|---|
| Professional Name | STACEY M PEARSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 92358484405) | 
| Enumeration Date | 2013-09-19 | 
| Last Update Date | 2020-10-01 |