DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY YOHANNAN

Active Sole Proprietor

STACY YOHANNAN is a Nurse Practitioner healthcare provider located in GREENVILLE, Texas. NPI 1861162414 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GREENVILLE, TX

Registration Details

NPI Number
1861162414
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2021 (4.8955072653217 yrs)
Last Updated
Dec 6, 2022
Licenses
AP144895 (TX)
AP144895 (TX)
Sole Proprietor
Yes

Practice Information

Address
4725 WELLINGTON ST
GREENVILLE, TX, 754014945
Browse TX providers · Browse ZIP 75401
Phone
4693201267
Fax
9452428020
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in GREENVILLE, TX

Name Credential NPI
KRISTI LYNNE POLLARD FNP 1275648271
GLENDA ARLENE RUDY RN-C,WHNP 1396846077
DAWN M MADKINS RN, MSN, A-GNP-C 1912406661
DERECK TA SHANTE WRIGHT AGACNP-BC 1144810144
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.