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NPI Code Detail

MEDICARE: MARY BETH STOCSTILL MSN, FNP-BC

MEDICARE: MARY BETH STOCSTILL MSN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPN0000015542TN

General Provider Information

NPI Number : 1649579319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BETH STOCSTILL MSN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 7514
Second Line :
City : CAROL STREAM
State : IL
Zip : 60197-7514
Country : US
Telephone Number : 855-460-6222
Fax Number : 844-435-3188
Provider Business Practice Location Address
First Line : 206 COOL SPRINGS BLVD STE 105
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2677
Country : US
Telephone Number : 615-367-1444
Fax Number : 888-615-1445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2011
Last Update Date : 02/10/2026

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