Provider Demographics
NPI:1245764240
Name:STANFILL, KATHERINE MCLEAN (FNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MCLEAN
Last Name:STANFILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-822-2214
Mailing Address - Fax:615-822-6519
Practice Address - Street 1:102 WESSINGTON PL
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3085
Practice Address - Country:US
Practice Address - Phone:615-822-2214
Practice Address - Fax:615-822-6519
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015609363LF0000X
TNAPN22054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily