Provider Demographics
NPI:1831248749
Name:CARTER, STEFANIE G (FNP)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:G
Last Name:CARTER
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 1:710 HART LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37247-0801
Mailing Address - Country:US
Mailing Address - Phone:615-650-7000
Mailing Address - Fax:615-262-6139
Practice Address - Street 1:325 NEW SHACKLE ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2300
Practice Address - Country:US
Practice Address - Phone:615-824-0552
Practice Address - Fax:615-824-9771
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007289363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7289OtherAPN
TN108412OtherAPN