DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STACEY NELSON PMHNP-BC

MEDICARE: STACEY NELSON PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN22481TN
2163W00000XRegistered NurseRN0000175851TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770839029
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY NELSON PMHNP-BC
Provider Business Mailing Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-588-3173
Fax Number : 865-244-3579
Provider Business Practice Location Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-588-3173
Fax Number : 865-244-3579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 01/12/2026

Similar Medicare Providers

1295460889 — GAIL SUZANNE DILLON
Practice Location Address:
10434 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-588-3173
Practice Fax: 865-244-3579
1487779476 — MRS. ANNE M. GOSS LCSW
Practice Location Address:
10434 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-730-4171
Practice Fax: 423-388-4774
1477376192 — JESSICA MARY LYSZCZASZ LCSW
Practice Location Address:
10434 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-588-3173
Practice Fax:
1174214795 — MEGAN E HEMMANN LCSW
Practice Location Address:
10434 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-588-3173
Practice Fax: 865-244-3579
1417939133 — WILLIAM N COCHRAN PA-C
Practice Location Address:
10404 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-223-5835
Practice Fax:
1376588236 — MR. LESLIE A. MATHEWSON APN (PMHNP)
Practice Location Address:
10434 JACKSON OAKS WAY
KNOXVILLE, TN
37922-3293
Practice Phone: 865-281-1408
Practice Fax:

Directions to “ STACEY NELSON PMHNP-BC” 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.