Provider Demographics
NPI:1407522980
Name:HAMPTON, STASHA NICOLE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:STASHA
Middle Name:NICOLE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5906 CHARLOTTE PIKE STE D
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3181
Mailing Address - Country:US
Mailing Address - Phone:629-888-4161
Mailing Address - Fax:629-888-4154
Practice Address - Street 1:5906 CHARLOTTE PIKE STE D
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3181
Practice Address - Country:US
Practice Address - Phone:629-888-4161
Practice Address - Fax:629-888-4154
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN29733363LP0808X
TNAPRN000029733363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty