MRS. STEPHANIE ANN ANDERSON NPI 1205611597

NPI Information

  • NPI: 1205611597
  • Provider Name: MRS. STEPHANIE ANN ANDERSON
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8000 WOLF RIVER BLVD STE 200
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 747-3630

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NPI Details

MRS. Stephanie Ann Anderson is an adult health nurse practitioner in Germantown, TN with 2 years of experience. MRS. Stephanie Ann Anderson NPI is 1205611597. 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:

8000 WOLF RIVER BLVD STE 200
GERMANTOWN, TN
ZIP 38138-755
Phone: (901) 747-3630

The NPI 1205611597 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 8/28/2023 and was last updated on 3/3/2025.

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
1363LA2200XNurse PractitionerAdult Health34575TENNESSEEYes

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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