DR. STEPHANIE CONDER DNP FNP-BC NPI 1083942205

NPI Information

  • NPI: 1083942205
  • Provider Name: DR. STEPHANIE CONDER, DNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 INDEPENDENCE LN
    LA FOLLETTE, TN
    ZIP 37766
  • Phone: (423) 562-1705

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NPI Details

DR. Stephanie Conder, DNP, FNP-BC is a family nurse practitioner in La Follette, TN. DR. Stephanie Conder, DNP, FNP-BC NPI is 1083942205. 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:

130 INDEPENDENCE LN
LA FOLLETTE, TN
ZIP 37766-031
Phone: (423) 562-1705
Fax: (423) 566-3718

The NPI 1083942205 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 11/29/2009 and was last updated on 8/25/2016.

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
1163WC0200XRegistered NurseCritical Care MedicineRN0000128792TENNESSEENo
2363LF0000XNurse PractitionerFamilyAPN0000014880TENNESSEEYes

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
1103I502563MEDICARE PINTENNESSEE
2Q006075MEDICAIDTENNESSEE

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: 11/21/2025

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