Healthcare Provider Details

I. General information

NPI: 1629365051
Provider Name (Legal Business Name): LINDSAY K STUBBLEFIELD FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7326 MAYNARDVILLE PIKE STE 400
KNOXVILLE TN
37938-3717
US

IV. Provider business mailing address

7326 MAYNARDVILLE PIKE STE 400
KNOXVILLE TN
37938-3717
US

V. Phone/Fax

Practice location:
  • Phone: 865-925-9035
  • Fax: 865-925-9045
Mailing address:
  • Phone: 865-925-9035
  • Fax: 865-925-9045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN15936
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: