Stacy Lynn Park is a Family in Chattanooga, Tennessee. Stacy Lynn Park practices all healthcare services and medical treatments related to Family. The NPI Number for Stacy Lynn Park is 1205012234. The last update date is 2008-12-10.
Stacy Lynn Park's current location address is 721 Glenwood Dr, Chattanooga, Tennessee. You can contact this provider via phone number 4236242611. The mailing address for Stacy Lynn Park is 721 Glenwood Dr, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Lynn Park |
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Address | 721 Glenwood Dr, Chattanooga, Tennessee |
Phone Number | 4236242611 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1205012234 |
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Provider Enumeration Date | 2008-01-22 |
Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
Address | 721 Glenwood Dr |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374041106 |
Phone Number | 4236242611 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | APN000001297 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Stacy Lynn Park?
The Stacy Lynn Park has been issued the NPI (National Provider Identifier) 1205012234 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stacy Lynn Park's facilities are geographically located?
The facilities of Stacy Lynn Park are physically situated at the following location: 721 Glenwood Dr, Chattanooga, TN, 374041106.
What is Stacy Lynn Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacy Lynn Park's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205012234 to Stacy Lynn Park?
The Centers for Medicare & Medicaid Services assigned the 1205012234 to Stacy Lynn Park on 2008-01-22.
When was the Stacy Lynn Park's information last updated?
The Stacy Lynn Park's information was last updated on 2008-12-10.
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