Stacie Dawn Shoemaker, AGNP-C
Stacie Dawn Shoemaker, AGNP-C is a Nurse Practitioner in Eupora, Mississippi. Qualified in 2024, 2 years ago. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Mississippi and Texas.
- Years since qualifying
- 2
- Licensed in
- MS, TX
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
156 E Walnut AveEupora, MS 39744-2027
Phone: (731) 394-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 908040 (MS) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 1177371 (TX) |
Record details
| NPI number | 1598585523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2024 |
| Last updated in NPPES | January 29, 2026 |
| Certification date | January 29, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Ultra Health Llc — 162 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |