MEDICARE: JENNIFER STINSON APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	38781	TN

General Provider Information

NPI Number	:	1740177443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER STINSON APRN

Provider Business Mailing Address
First Line	:	57 W BROOKS RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38109-7901
Country	:	US
Telephone Number	:	901-799-3404
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 BROAD AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-3104
Country	:	US
Telephone Number	:	901-577-9400
Fax Number	:

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

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

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