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

Heather Stafford

Individual provider Nurse Practitioner · NPI 1891551784

Heather Stafford is a Nurse Practitioner in Gainesboro, Tennessee. Qualified in 2023, 3 years ago. Practices with Ultra Health LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024

Practice location Address checks out

1340 N Grundy Quarles Hwy
Gainesboro, TN 38562-6001
Phone: (931) 268-0291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 Times Ave, Lafayette, TN 37083-1247 — (615) 666-3170

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 35808 (TN)

Record details

NPI number1891551784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address972 Haydenburg Rd, Whitleyville, TN 38588-7059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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