Jantzen, Stacey

Jantzen, Stacey is an individual health care provider with primary practice located at 2700 E Broad St , Mansfield TX 76063-5899. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jantzen, Stacey can be contacted via phone (682) 242-6440.

Contact Information

Primary practice address
2700 E Broad St Mansfield TX 76063-5899
Phone: (682) 242-6440
Fax: (682) 242-6445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1017499 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1017499 Texas

Profile Details

NPI number 1760056527
LBN Legal business name Jantzen, Stacey
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2021
Last updated Aug 9th, 2021 - about 3 years ago

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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