Stacey Hamilton, RN
Individual provider Active NPI Registered Nurse · Blountville, TN
NPI 1093593592 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1093593592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0000238164 (TN)
- Practice address
- 154 Blountville Byp
Blountville, TN 37617-4575 - Phone
- (423) 279-2777
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000238164 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000238164 | TN | Yes |
Addresses
Primary practice location
154 Blountville Byp
Blountville, TN 37617-4575
Mailing address
154 Blountville Byp
Blountville, TN 37617-4575
Other providers in Blountville, TN
- Chrystal Gail Gortney
- Emily Kay Gouge
- Melinda Sue Gouge
- Brandon Scott Hale
- Teresa E Hall
- Tammy Jo Harrison
- Healing Paths Counseling
- Alisa Lynne Hearl
- Jessica E Hess
- Cindy R Holmes
All providers in Blountville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.