Healthcare Provider Details

I. General information

NPI: 1275547374
Provider Name (Legal Business Name): STACY PERKINS MCLALLEN NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NP CARE OF TN, LLC 2 INTERNATIONAL PLAZA SUITE 602
NASHVILLE TN
37217-2017
US

IV. Provider business mailing address

1103 BILTMORE DR
NASHVILLE TN
37204-4123
US

V. Phone/Fax

Practice location:
  • Phone: 615-366-1264
  • Fax: 615-361-8932
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000006155
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: