Provider Demographics
NPI:1205208329
Name:STAUFFER, EMILIE (CPNP-PC)
Entity Type:Individual
Prefix:MS
First Name:EMILIE
Middle Name:
Last Name:STAUFFER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6640 CAROTHERS PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6576
Mailing Address - Country:US
Mailing Address - Phone:615-550-4030
Mailing Address - Fax:615-550-4035
Practice Address - Street 1:5505 EDMONDSON PIKE STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5869
Practice Address - Country:US
Practice Address - Phone:615-331-5898
Practice Address - Fax:615-331-5705
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000020589363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics