Stroud, Stacey A

Stroud, Stacey A is an individual health care provider with primary practice located at 660 South Mt. Juliet Road Suite 100, Mt. Juliet TN 37122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stroud, Stacey A can be contacted via phone (629) 255-2075.

Contact Information

Primary practice address
660 South Mt. Juliet Road Suite 100 Mt. Juliet TN 37122
Phone: (629) 255-2075
Fax: (629) 255-4164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000000620 Tennessee

Profile Details

NPI number 1912910142
LBN Legal business name Stroud, Stacey A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912910142 NPPES
Tennessee MEDICAID 3381621
Tennessee MEDICAID Q012341

Popular Providers