Individual provider · Type 1 NPI
Stacy Jean Riggs, CPNP
Pediatric Nurse Practitioner · Jacksboro, TN
NPI number
1104385111
Active
Practice location
136 Mountain Perkins Ln Ste 2
Jacksboro, TN 37757-2841
Fax (423) 566-6929
Mailing address
5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 25579 (TN) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Jacksboro
About NPI 1104385111
Stacy Jean Riggs, CPNP's National Provider Identifier is 1104385111, issued on Mar 19, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jacksboro, TN. The record was last updated on Nov 27, 2023.