Stacey Diane Stark, FNP
NPI #1104704477 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1104704477
- Entity Type
- Individual
- Name
- Stacey Diane Stark, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 25, 2025
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 2340 KATY LN
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2300
- Phone
- (573) 290-3293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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