Pamela Renee Stacy
ACNP | Nurse Practitioner
8288 S Broadway Ave, Tyler
Texas, 75703-5262
903-606-7060
Pamela Renee Stacy is a Tyler, Texas based nurse practitioner. Active license number of Pamela Renee Stacy is AP121213 for Family in Texas. Her current practice location is 8288 S Broadway Ave, Tyler. Patients can reach her at 903-606-7060. Pamela Renee Stacy is ACNP and her NPI number (Unique professional ID assigned by NPPES) is 1821367327.
Pamela Renee Stacy has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Pamela Renee Stacy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Pamela Renee Stacy |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ACNP |
| Practice Address: | 8288 S Broadway Ave, Tyler,
Texas, 75703-5262 |
| Phone: | 903-606-7060 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1821367327 |
| NPI Enumeration Date: | 29 Dec, 2011 |
| NPI Last Update On: | 28 Oct, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pamela Renee Stacy are as mentioned below.
| License Number | Specialization | State | Status | |
| AP121213 | Family | Texas | Primary | |
| AP121213 | Nurse Practitioner | Texas | Secondary | |
| AP121213 | Acute Care | Texas | Secondary | |
| 729458 | Acute Care | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Pamela Renee Stacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 75-2616977-118 | Other | Texas | TRICARE |
| 293825001 | Medicaid | Texas | |
| 75-2616977-007 | Other | Texas | TRICARE |
| 867N10 | Other | Texas | BCBS |
| 75-2616977-066 | Other | Texas | TRICARE |
| 752616977042 | Other | Texas | TRICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pamela Renee Stacy
Po Box 846098,
Dallas, Texas |
| Zip: | 75284-6098 |
| Phone Number: | 903-324-6450 |
Patients can reach Pamela Renee Stacy at
8288 S Broadway Ave, Tyler, Texas or can
call to book an appointment on 903-606-7060.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.