STACEY WHALLEY MSN FNP-BC NPI 1992002067

NPI Information

  • NPI: 1992002067
  • Provider Name: STACEY WHALLEY, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 121 STONEBRIDGE BLVD STE C
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 213-1212

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NPI Details

Stacey Whalley, MSN, FNP-BC is a family nurse practitioner in Jackson, TN. Stacey Whalley, MSN, FNP-BC NPI is 1992002067. 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:

121 STONEBRIDGE BLVD STE C
JACKSON, TN
ZIP 38305-160
Phone: (731) 213-1212
Fax: (731) 249-0371

The NPI 1992002067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 1/10/2025.

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
1363LF0000XNurse PractitionerFamily15611TENNESSEEYes

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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