Stacy Marie Tavenner
Nurse Practitioner · Henrico, VA
Practice location
3001 Hungary Spring Rd Ste CHenrico, VA 23228-2428
- Phone
- (317) 418-5138
NPI record
- NPI
- 1710535091
- Entity type
- Individual (Type 1)
- Enumeration date
- August 29, 2019
- Last updated
- November 15, 2022
- Certified
- November 15, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
RN212253 | GA |
| Nurse Practitioner | 363L00000X |
24185330 | VA |
| Nurse Practitioner | 363L00000X |
11021325 | FL |
| Adult Health Nurse Practitioner | 363LA2200X |
RN212253 | GA |
Mailing address
4830 Anvil CtJefferson, GA 30549-8858
- Phone
- (317) 418-5138
Other practice locations (1)
- 400 N Mount Zion Rd, Lebanon, IN 46052-9497 · (765) 335-0123
About Stacy Tavenner
Stacy Marie Tavenner is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 3001 Hungary Spring Rd Ste C, Henrico, VA 23228-2428. The NPI number 1710535091 was assigned on August 29, 2019 and the record was last updated on November 15, 2022.
Stacy Tavenner lists 4 licenses in the registry: #RN212253 (GA) for Nurse Practitioner; #24185330 (VA) for Nurse Practitioner; #11021325 (FL) for Nurse Practitioner; #RN212253 (GA) for Adult Health Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Stacy Marie Tavenner?
The NPI number is 1710535091.
What is the phone number of Stacy Tavenner?
The phone number listed for the practice location is (317) 418-5138.
Where is Stacy Tavenner located?
3001 Hungary Spring Rd Ste C, Henrico, VA 23228-2428.
What is the taxonomy code for Stacy Tavenner?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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