Individual provider · Type 1 NPI

Stacy Marie Tavenner

Nurse Practitioner · Henrico, VA

NPI number 1710535091 Active

Practice location

3001 Hungary Spring Rd Ste C
Henrico, VA 23228-2428

Mailing address

4830 Anvil Ct
Jefferson, GA 30549-8858

Other practice locations

  • 400 N Mount Zion Rd, Lebanon, IN 46052-9497 · (765) 335-0123

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X24185330 (VA)
Nurse Practitioner 363L00000X11021325 (FL)
Adult Health Nurse Practitioner 363LA2200XRN212253 (GA)
Nurse Practitioner Primary 363L00000XRN212253 (GA)

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…

4 other providers at this address

Other nurse practitioner providers in Henrico

See all in Henrico →

About NPI 1710535091

Stacy Marie Tavenner's National Provider Identifier is 1710535091, issued on Aug 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Henrico, VA. The record was last updated on Nov 15, 2022.