Individual
STACY MARIE TAVENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 HUNGARY SPRING RD STE C, HENRICO, VA 23228-2428
(317) 418-5138
Mailing address
4830 ANVIL CT, JEFFERSON, GA 30549-8858
(317) 418-5138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11021325
FL
363L00000X
Nurse Practitioner
24185330
VA
363L00000X
Nurse Practitioner
Primary
RN212253
GA
363LA2200X
Adult Health Nurse Practitioner
RN212253
GA
Other
Enumeration date
08/29/2019
Last updated
11/15/2022
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