Provider Demographics
NPI:1205723202
Name:BARRETT, STELLA LEE (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:STELLA
Middle Name:LEE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:MS
Other - First Name:STELLA
Other - Middle Name:LEE
Other - Last Name:CUTTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2525 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2549
Mailing Address - Country:US
Mailing Address - Phone:321-966-2646
Mailing Address - Fax:
Practice Address - Street 1:2525 GARDEN ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2549
Practice Address - Country:US
Practice Address - Phone:321-966-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06251433363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner