STACEY ANNE KESTERSON RNC MSN NPI 1073594263

NPI Information

  • NPI: 1073594263
  • Provider Name: STACEY ANNE KESTERSON, RNC MSN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 N BELLWOOD RD
    MORRISTOWN, TN
    ZIP 37814
  • Phone: (865) 471-2700

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NPI Details

Stacey Anne Kesterson, RNC MSN is a women's health nurse practitioner in Morristown, TN with 22 years of experience. Stacey Anne Kesterson, RNC MSN NPI is 1073594263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 N BELLWOOD RD
MORRISTOWN, TN
ZIP 37814-188
Phone: (865) 471-2700
Fax: (865) 471-2704

The NPI 1073594263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 12/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health96945TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13349271MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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