Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Latham, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457998809

Stacy Latham, APRN, PMHNP-BC is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2018, 8 years ago. Practices with Poplar Bluff Hma Physician Management, LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
Fax: (573) 778-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2019045345 (MO)

Record details

NPI number1457998809
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Poplar Bluff Hma Physician Management, Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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