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

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 and National Provider Directory roles.

• Skyline 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 Pharmaceutical Care, LLC
• Alecia Caldwell West, RN
• 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.