Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY M PEMBERTON
Active Sole ProprietorSTACY M PEMBERTON is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SEQUATCHIE, Tennessee. NPI 1063241438 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SEQUATCHIE, TN
Registration Details
- NPI Number
- 1063241438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2024 (2.0630675544281 yrs)
- Last Updated
- Aug 1, 2024
- License
-
36877 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
298 SEQUATCHIE MOUNTAIN RDSEQUATCHIE, TN, 373745000Browse TN providers · Browse ZIP 37374
- Phone
- 4236057415
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.