Healthcare Provider Details

I. General information

NPI: 1922513407
Provider Name (Legal Business Name): STACEY ANN MORROW AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACEY ANN STEINFELD

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CENTRAL EXPY N STE 235
ALLEN TX
75013-6135
US

IV. Provider business mailing address

6124 W PARKER RD STE 530
PLANO TX
75093-8140
US

V. Phone/Fax

Practice location:
  • Phone: 972-747-6042
  • Fax: 972-747-6043
Mailing address:
  • Phone: 972-747-6042
  • Fax: 972-747-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP135827
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP135827
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: