Individual
STACY LYNN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8300
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63671
TN
207RP1001X
Pulmonary Disease Physician
Primary
63671
TN
208000000X
Pediatrics Physician
63671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042044
—
TN
Enumeration date
04/10/2017
Last updated
07/23/2025
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