Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE DAWN SHOEMAKER, AGNP-C
Active Sole ProprietorSTACIE DAWN SHOEMAKER, AGNP-C is a Adult Health Nurse Practitioner healthcare provider located in EUPORA, Mississippi. NPI 1598585523 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · EUPORA, MS
Registration Details
- NPI Number
- 1598585523
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2024 (1.7992856140445 yrs)
- Last Updated
- Jan 29, 2026
- Licenses
-
1177371 (TX)908040 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 E WALNUT AVEEUPORA, MS, 397442027Browse MS providers · Browse ZIP 39744
- Phone
- 7313941145
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.