Provider Demographics
NPI:1427037563
Name:STABLER, LEE ANN (CNM)
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:ANN
Last Name:STABLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 LAMAR LAWSON RD NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-5311
Mailing Address - Country:US
Mailing Address - Phone:423-559-2612
Mailing Address - Fax:423-728-2337
Practice Address - Street 1:286 LAMAR LAWSON RD NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37323-5311
Practice Address - Country:US
Practice Address - Phone:423-716-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7160367A00000X
CA236056367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3720806Medicare ID - Type Unspecified