Stacy Yohannan
NPI #1861162414 in Greenville, Texas
Provider Information
- NPI Number
- 1861162414
- Entity Type
- Individual
- Name
- Stacy Yohannan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Dec 6, 2022
Practice Location
- Address
- 4725 WELLINGTON ST
- City
- Greenville
- State
- Texas
- ZIP Code
- 75401-4945
- Phone
- (469) 320-1267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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| Dereck Ta Shante Wright, AGACNP-BC | |
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Organizations
| Provider Name | |
|---|---|
| Riney Healthcare Services Pllc |
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