Provider Demographics
NPI:1447625249
Name:COX, STACY LYNN (FNP)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:LYNN
Last Name:COX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:STE 403
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:629-888-5125
Mailing Address - Fax:629-888-5126
Practice Address - Street 1:791 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4504
Practice Address - Country:US
Practice Address - Phone:629-888-5125
Practice Address - Fax:629-888-5135
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000020642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019237Medicaid
TN6059259OtherBCBS