Stacey Whalley, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15611 Issued in TN

Practice address

121 Stonebridge Blvd Ste C
Jackson, TN 38305-2160

Phone

(731) 213-1212

Fax

(731) 249-0371

NPI assigned

Feb 24, 2011

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Mott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staceymott@acvcpc.allscriptsdirect.net

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

• Skyline Eye Clinic, PC

  dba Eye Clinic, PC

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1154328813
  NPD

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1992002067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STONEBRIDGE BLVD STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052160",
            "telephone_number": "731-213-1212",
            "fax_number": "731-249-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STONEBRIDGE BLVD STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052160",
            "telephone_number": "731-213-1212",
            "fax_number": "731-249-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALLEY",
        "first_name": "STACEY",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MOTT",
            "credential": "MSN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West TN Neuropsychology & Mental Health Center (WTN Neuropsychology Center)
• West TN Pharmaceutical Care, LLC
• Mark Ellis West, PHARM.D.
• Naadia West, MD
• Adam Westmoreland, MSSW
• Kevin J Wheatley, M.D.
• Brian E Whitby, PHARMD
• Debra B Whitby, RD
• Stella M White Day, FNP APN
• Amy Watson White, WHNP

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.