STACEY DENISE SMITH

DALLAS, TX
NPI1972249860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1074508)
Enumeration Date2022-05-12
Last Update Date2022-12-28
Business Address
Mrs. STACEY DENISE SMITH PMHNP-BC
4645 SAMUELL BLVD
DALLAS, TX 75228-6826
Phone number: 214-743-1200
Mailing Address
Mrs. STACEY DENISE SMITH PMHNP-BC
1216 PARKVIEW TRL
GLENN HEIGHTS, TX 75154-8837
Phone number: 214-455-9640
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