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NPI Code Detail

MEDICARE: MRS. STACY LANE FNP

MEDICARE: MRS. STACY LANE FNP
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
1363LF0000XFamily Nurse PractitionerAPN0000007616TN

General Provider Information

NPI Number : 1427157338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACY LANE FNP
Provider Business Mailing Address
First Line : 648 HARTSVILLE PIKE
Second Line :
City : GALLATIN
State : TN
Zip : 37066-2523
Country : US
Telephone Number : 615-451-9246
Fax Number : 615-575-5040
Provider Business Practice Location Address
First Line : 262 NEW SHACKLE ISLAND RD
Second Line : SUITE 203
City : HENDERSONVILLE
State : TN
Zip : 37075-2489
Country : US
Telephone Number : 615-824-1142
Fax Number : 615-264-3635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 02/11/2014

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Directions to “ MRS. STACY LANE FNP” Practice Location

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