Lacey Shayann Wyatt (NPI# 1649358847, PAC ID# 0244253995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649358847 |
| PAC ID by PECOS | 0244253995 |
| Professional Enrollment ID | I20060109000301 |
| Full Name | Lacey Shayann Wyatt |
| Organization Legal Name | KENNETH F RODGERS MD PA |
| Address |
1707 Linwood Dr Suite A Paragould AR 72450-5365 |
| Phone Number | 8702362202 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224108493 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 | 8702362202 | KENNETH F RODGERS MD PA |
| Organization Legal Name | KENNETH F RODGERS MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth F Rodgers | Gastroenterology | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Kelly K. Malone | Nurse Practitioner | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Street Address |
1707 LINWOOD DR SUITE A |
| City | PARAGOULD |
| State | AR |
| Zip | 72450-5365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandice A Rogers | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Courtney Jean Stewart | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Kenneth F Rodgers | Gastroenterology | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Kelly K. Malone | Nurse Practitioner | Kenneth F Rodgers Md Pa | 1707 Linwood Dr, Suite A, Paragould, AR 72450-5365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Cullins | Optometry | Jonathan B. Ross Od Pa | 2802 W Kingshighway, Paragould, AR 72450-2617 |
| Roger E Cagle | Family Medicine | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Toni T Garner | Nurse Practitioner | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Deborah A Miles | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Pamela G Ramirez | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Heather E Bastel | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Teri S Gill Butler | Optometry | 2711 W Kingshighway, Suite 4, Paragould, AR 72450-2645 | |
| Joel Matthew Inman | Chiropractic | Inman Chiropractic and Rehabilitation Center Pllc | 2711 W Kingshighway, Suite 14, Paragould, AR 72450-2645 |
| William E Fisher | Chiropractic | 105 Reynolds Rd, Paragould, AR 72450-2710 | |
| April L Towell | Clinical Social Worker | Families, Inc of Arkansas | 1101 W Morgan St, Suite 8, Paragould, AR 72450-2848 |
| Find all physicians in zip 72450 | |||
| City | PARAGOULD |
| Zip Code | 72450 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PARAGOULD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lacey Shayann Wyatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.