Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Stacy Lee Taylor, RN

Individual provider General Practice Registered Nurse · NPI 1669995155

Mr. Stacy Lee Taylor, RN is a General Practice Registered Nurse in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone: (573) 776-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2011021213 (MO)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 2011021213 (MO)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 2011021213 (MO)

Record details

NPI number1669995155
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 17, 2017
Mailing address2502 Fox Dr, Poplar Bluff, MO 63901-2102

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