Gregory, Stacy Laine

Gregory, Stacy Laine is an sole proprietor health care provider with primary practice located at 1809 Capital Dr , Tyler TX 75701-8438. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gregory, Stacy Laine can be contacted via phone (903) 509-4499.

Contact Information

Primary practice address
1809 Capital Dr Tyler TX 75701-8438
Phone: (903) 509-4499
Fax: (903) 509-4490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 601016 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP125238 Texas

Profile Details

NPI number 1528483591
LBN Legal business name Gregory, Stacy Laine
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2014
Last updated May 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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