Tyler Stanley is a nice guy but his skills as a Nurse Practitioner (NP) fell extremely short when my child contracted Lyme disease. After several visits for complaints of joint and back pains, and difficulties defecating, Mr. Stanley never ordered any lab work and, instead, advised that we use Metamucil and over-the-counter analgesics to treat the symptoms. In brief, he was negligent, and his negligence allowed bad problems to become very serious issues as complications grew in scope.