Individual provider · Type 1 NPI

Jennifer Stakias, NP

Nurse Practitioner · Kingsport, TN

NPI number 1437589710 Active

Practice location

415 Broad St, Suite 410
Kingsport, TN 37660-4263

Fax (423) 398-5500

Mailing address

1 Medical Park Blvd
Bristol, TN 37620-7430

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X18172 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1437589710

Jennifer Stakias, NP's National Provider Identifier is 1437589710, issued on Nov 22, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kingsport, TN. The record was last updated on Nov 22, 2013.