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Stacy Wyatt is one of 280 nurse practitioners practicing in Beaumont, Texas .
Stacy Wyatt practices with Winnie Community Hospital LLC.
Registry record (NPPES)
NPI
1861222143
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
4801 Woodway Dr Ste 306W Houston, TX 77056-1828 (832) 225-3345
Enumerated
Aug 2, 2024
Record last updated
Aug 2, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3560 Delaware St Suite 502
Beaumont , TX 77706
4092321500217
More nurse practitioners in Beaumont
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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