Stacey L Binkley, NP
Individual provider Active NPI Family Nurse Practitioner · Vanleer, TN
NPI 1093718264 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1093718264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN7397 (TN)
- Practice address
- 1930 Cedar Creek Rd
Vanleer, TN 37181-5107 - Phone
- (615) 441-4530
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7397 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN7397 | TN | Yes |
Addresses
Primary practice location
1930 Cedar Creek Rd
Vanleer, TN 37181-5107
Mailing address
1930 Cedar Creek Rd
Vanleer, TN 37181-5107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q026409 | Medicaid | TN |
Other providers in Vanleer, TN
All providers in Vanleer, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 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.