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STACEY ANN POOLE DNP, RN, PMHNP-BC
NPI 1366065104
Nurse Practitioner - Psychiatric/Mental Health in Crestview, FL

Active since May 27, 2020
521 RISEN STAR DR, CRESTVIEW, FL 32539(480) 608-5157 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2020, May 27, 2020 (2 updates tracked since 2020).

About Stacey Ann Poole Dnp, Rn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY ANN POOLE DNP, RN, PMHNP-BC (NPI 1366065104) is an individual psychiatric/mental health provider in Crestview, Florida, licensed in Florida (APRN11012113) and active in the NPI registry since May 2020. She maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1366065104
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY ANN POOLECredential: DNP, RN, PMHNP-BC
Location Address521 RISEN STAR DRCrestview, FL 32539-6071
Mailing Address521 Risen Star DrCrestview, FL 32539-6071 · (480) 808-9505
Phone(480) 608-5157
Sole ProprietorYes
Enumeration DateMay 27, 2020
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1366065104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11012113✔ Licensed in AZ · 245674✔ Licensed in TX · AP145602
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9559718 (FL)
521 RISEN STAR DR, Crestview, FL 32539
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Secondary Practice Location 1

Location 15900 Balcones Dr # Dr100Austin, TX 78731-4257 · Phone (325) 812-4206

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Poole's NPI number?

The NPI number for Stacey Poole is 1366065104. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Stacey Poole located?

Stacey Poole practices at 521 Risen Star Dr, Crestview, FL 32539. The listed phone number is (480) 608-5157.

What is Stacey Poole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Stacey Poole was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.