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NPI Code Detail

MEDICARE: ERIN MICHELE STUBBLEFIELD PA-C

MEDICARE:   ERIN MICHELE STUBBLEFIELD  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant3225SC
2363AM0700XMedical Physician Assistant4159TN
3363AM0700XMedical Physician AssistantPA08931TX
4363A00000XPhysician AssistantPA08931TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14159OTHERTNMEDICAL LICENSE
2PA08931OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1609286004
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MICHELE STUBBLEFIELD PA-C
Provider Business Mailing Address
First Line : 979 E 3RD ST STE C825
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-3357
Country : US
Telephone Number : 423-778-4830
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 214-648-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 04/17/2026

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Directions to “ ERIN MICHELE STUBBLEFIELD PA-C” Practice Location

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