Healthcare Provider Details

I. General information

NPI: 1407977184
Provider Name (Legal Business Name): MEGAN PARTRIDGE STAUFFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ELIZABETH PARTRIDGE MD

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 04/04/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 OLD HICKORY BLVD SUITE 201
HERMITAGE TN
37076-2582
US

IV. Provider business mailing address

5002 CROSSING CIRCLE SUITE 260
MT. JULIET TN
37122-8590
US

V. Phone/Fax

Practice location:
  • Phone: 615-475-0148
  • Fax: 615-475-0151
Mailing address:
  • Phone: 615-553-3404
  • Fax: 658-895-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD42437
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number42437
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: