Individual
BRANDI L STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2003 S 7TH ST, HICKMAN, KY 42050-1841
(270) 236-3337
(270) 236-3340
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007706
KY
363LF0000X
Family Nurse Practitioner
3007706
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100237310
—
KY
Enumeration date
02/22/2013
Last updated
06/21/2024
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