MEDICARE: STACEY LYNN THOMPSON

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
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1336314608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY LYNN THOMPSON

Provider Business Mailing Address
First Line	:	506 KILBURN HOLLOW RD
Second Line	:
City	:	WAYNESBORO
State	:	TN
Zip	:	38485-4564
Country	:	US
Telephone Number	:	931-722-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 JV MANGUBAT DR
Second Line	:
City	:	WAYNESBORO
State	:	TN
Zip	:	38485-2439
Country	:	US
Telephone Number	:	931-722-3292
Fax Number	:	931-722-7249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/28/2008

Similar Medicare Providers

1538156575 — WAYNE COUNTY NURSING HOME
Practice Location Address:

104 JV MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3641
Practice Fax: 931-722-7215

1902827363 — STATE OF TENNESSEE
Practice Location Address:

102 J V MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3292
Practice Fax: 931-722-7249

1780713768 — SHERRY LYNN PRINCE
Practice Location Address:

102 JV MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3292
Practice Fax:

1649303314 — JANICE KAY ANDREWS R.N.
Practice Location Address:

102 JV MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3292
Practice Fax: 931-722-7249

1386995801 — GENA GARRARD RN
Practice Location Address:

102 JV MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3292
Practice Fax:

1235543463 — WAYNESBORO HEALTHCARE, LLC
Practice Location Address:

104 JV MANGUBAT DR
WAYNESBORO, TN
38485-2439

Practice Phone: 931-722-3641
Practice Fax:

Directions to “ STACEY LYNN THOMPSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.