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NPI Code Detail

MEDICARE: STACEY STCLAIR PMHNP

MEDICARE: STACEY STCLAIR PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN-NP174675GA

General Provider Information

NPI Number : 1881549871
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY STCLAIR PMHNP
Provider Business Mailing Address
First Line : 753 VILLAGE FIELD CT
Second Line :
City : SUWANEE
State : GA
Zip : 30024-8749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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