JENNIFER STACY


Address: 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310
Phone: 8656735000

JENNIFER STACY (NPI# 1568962843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568962843
Entity Type Individual
Full Name JENNIFER STACY
Credential FNP-C
Practice Address 818 Sunset Dr Ste 102
Johnson City
TN 37604-8310
Mailing Address 1326 Papermill Pointe Way
Knoxville
TN 37909-1903
Practice Telephone 8656735000
Practice Fax Number 8653306323
Mailing Telephone 8656735000
Mailing Fax Number 8653306323
Enumeration Date 2018-02-13
Last Update Date 2019-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
23778 TN Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
23778 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q036117 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1326 Papermill Pointe Way, Knoxville, TN 379091903 8653306320

Other Providers JENNIFER STACY

NPI Name Taxonomy Address Enumeration
1912307612 Jennifer Stacy Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2014-08-29

Office Location

Street Address 818 SUNSET DR STE 102
City JOHNSON CITY
State TN
Zip Code 37604-8310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346624095 Desiree Raynor Nurse Practitioner 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 2015-07-13
1417456054 Elyse Suzanne Mann Registered Nurse 818 Sunset Dr Ste 102, Johnson City, TN 37604 2018-02-09
1689185241 Allison Raettig Nurse Practitioner 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 2017-10-23
1053780817 Tiffany Lynn Rodriguez Specialist/Technologist, Other 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 2015-09-22
1205205002 Keshi Hamblin Specialist/Technologist, Other 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 2015-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508245515 Cameron Kluth Pain Medicine 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 2015-05-22
1215987938 Sameh Ward Pain Medicine 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2006-05-11
1952396236 William Turney Williams Pain Medicine 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 2005-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699257444 Comprehensive Neurology Center Pllc Pain Medicine 5651 Frist Blvd Ste 413, Hermitage, TN 37076-2058 2018-08-29
1215354253 Robert Winslow Caughey Pain Medicine 300 Steam Plant Rd Ste 410, Gallatin, TN 37066-3065 2014-03-27
1750680328 Roane County Interventional Pain Management LLC Pain Medicine 1468 Gateway Ave, Rockwood, TN 37854-4143 2011-03-22
1194856773 Gregory Richard Bowers Pain Medicine 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 2007-03-08
1912938291 Robert Alan Coles Pain Medicine 1012 Executive Dr, Hixson, TN 37343-3993 2006-07-05
1952396384 Giovanni Faccia Pain Medicine 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 2005-09-12
1639644917 Comprehensive Neurology Center, Pllc Pain Medicine 415 Henslee Dr, Dickson, TN 37055-2166 2018-10-12
1659855252 Southern Pain and Regenerative Medicine PC Pain Medicine 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 2018-09-19
1376026310 Southern Pain and Regenerative Medicine PC Pain Medicine 176 Briarwood St Ste B, Camden, TN 38320-1456 2018-09-14
1083194237 Spectrum Pain Clinics Inc. Pain Medicine 23 Sandstone Cir, Jackson, TN 38305-2073 2018-08-17
Find all providers with the same taxonomy

Competitor

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City JOHNSON CITY
Zip Code 37604

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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