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

Mrs. Lacey Shayann Wyatt, APN

Individual provider Family Nurse Practitioner · NPI 1649358847

Mrs. Lacey Shayann Wyatt, APN is a Nurse Practitioner in Paragould, Arkansas. Qualified in 2004, 22 years ago. Practices with Kenneth F Rodgers MD PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Tennessee.

Years since qualifying
22
Licensed in
AR, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

1707 Linwood Dr Ste A
Paragould, AR 72450
Phone: (870) 236-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Physicians Ln, Southaven, MS 38671-6102 — (662) 393-7722

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A01865 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN0000014041 (TN)

Record details

NPI number1649358847
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJune 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kenneth F Rodgers Md Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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