Stacy M Wiley, NURSEPRACTITIONER
Stacy M Wiley, NURSEPRACTITIONER is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2021, 5 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.
- Years since qualifying
- 5
- Licensed in
- MO
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
12277 De Paul Dr Ste 403Bridgeton, MO 63044-2536
Phone: (314) 738-2715
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3933 S Broadway, Saint Louis, MO 63118-4696 — (314) 865-7924
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2022044057 (MO) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 2022044057 (MO) |
Record details
| NPI number | 1669176046 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | March 29, 2023 |
| Last updated in NPPES | October 27, 2023 |
| Certification date | October 27, 2023 |
| Mailing address | Po Box 955534, Saint Louis, MO 63195-5534 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Bridgeton
-
Amrjit Kaur Dhillon, MSN, APRN, AGNP-C
12277 De Paul Dr Ste 100, Bridgeton, MO 63044-2577 · (314) 209-5142
-
Davina L George, NP
12380 Depaul Dr, Bridgeton, MO 63044
-
Warren Orlando Jackson, AGNP
12303 De Paul Dr, Bridgeton, MO 63044-2512 · (314) 317-0600
-
MS. Jeanalyn Subido Schmitz, AGNP
12774 Boenker Ln, Bridgeton, MO 63044-2436 · (314) 291-7997