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Individual

JOSHUA JOHN STACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3285
WI
363A00000X
Physician Assistant
Primary
6791
TN
363AS0400X
Surgical Physician Assistant
MA053351
PA

Other

Enumeration date
04/18/2008
Last updated
04/10/2026
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