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General NPI Number Information
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NPI Number | 1124937032
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Entity Type | Individual
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Provider Name | JAMIE ANN STANFILL
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1415 OLD WEISGARBER RD STE 360
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City | KNOXVILLE
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State | TN
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Zip | 37909-1381
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Country | US
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Telephone | 865-345-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 SOMERSET LN
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City | SEVIERVILLE
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State | TN
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Zip | 37862-2100
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Country | US
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Telephone | 850-819-2580
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 42868
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License Number State | TN
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