Individual
STACEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10434 JACKSON OAKS WAY, KNOXVILLE, TN 37922-3293
(865) 588-3173
(865) 244-3579
Mailing address
10434 JACKSON OAKS WAY, KNOXVILLE, TN 37922-3293
(865) 588-3173
(865) 244-3579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000175851
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN22481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027970
—
TN
Enumeration date
07/24/2012
Last updated
01/12/2026
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