Individual provider · Type 1 NPI

Stacy Lynn Park, FNP

Family Nurse Practitioner · Chattanooga, TN

NPI number 1205012234 Active

Practice location

721 Glenwood Dr, Suite 462A
Chattanooga, TN 37404-1106

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN0000012977 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1205012234

Stacy Lynn Park, FNP's National Provider Identifier is 1205012234, issued on Jan 22, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Dec 10, 2008.