Individual provider Active NPI

Jennifer Stinson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1740177443
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
38781 Issued in TN
Practice address
3200 Broad Ave
Memphis, TN 38112-3104
Phone
(901) 577-9400
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 38781 TN Primary

Addresses

Primary practice location

3200 Broad Ave
Memphis, TN 38112-3104

Mailing address

57 W Brooks Rd
Memphis, TN 38109-7901
Phone (901) 799-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251030000281 TN Practitioner - Nurse Practitioner 2466941463 Reassigns benefits to 4 organizations
I20260410002555 AR Practitioner - Nurse Practitioner 2466941463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telos Health Systems TN PLLCGroup PAC ID 4486131729, 6 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

1992 Hwy 51 S
Covington, TN 38019-3623
Phone (201) 617-6777

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38781TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Aug 21, 2025 Accepting new patients
Alliance Healthcare Services Broad Pharmacy CurrentSince Jun 29, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Aug 21, 2025 Accepting new patients

Locations

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1740177443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W BROOKS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097901",
            "telephone_number": "901-799-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123104",
            "telephone_number": "901-577-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "38781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.