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

Stacey Diane Stark, FNP

Individual provider Family Nurse Practitioner · NPI 1104704477

Stacey Diane Stark, FNP is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2025, 1 year ago. Practices with Womens Health Specialists PC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2340 Katy Ln
Poplar Bluff, MO 63901-2300
Phone: (573) 290-3293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025038960 (MO)

Record details

NPI number1104704477
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Womens Health Specialists Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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