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Stacie Shoemaker, AGNP-C

NPI 1598585523 · on the registry since 2024 · sole proprietor

Practice

Address
156 E Walnut Ave
Eupora, MS 39744
Phone
(731) 394-1145
Organisation at this address
Diversicare Of Eupora, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2200X
Licence states on file
TX, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi