Basic Information
| Provider Information | |||||||||
| NPI: | 1891396586 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | READY | ||||||||
| FirstName: | STACEY | ||||||||
| MiddleName: | LYNNE | ||||||||
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| Credential: | APRN FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 UPTMORE RD | ||||||||
| Address2: | |||||||||
| City: | WEST | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766912339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2542142617 | ||||||||
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| Practice Location | |||||||||
| Address1: | 101 CIRCLE DR | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766452670 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2545808500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2020 | ||||||||
| LastUpdateDate: | 05/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1018975 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.