Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erick Stafford, PA-C

Individual provider Medical Physician Assistant · NPI 1053067405

Erick Stafford, PA-C is a Medical Physician Assistant in Jackson, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 Sandstone Cir
Jackson, TN 38305-2073
Phone: (731) 240-1695
Fax: (731) 240-1694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9036 Weeping Cherry Ln, Cordova, TN 38016-5373 — (813) 796-2200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1191813 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1191813 (TN)

Record details

NPI number1053067405
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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